Active NPI
Summit Medical Group, PLLC
Doing business as Summit Medical Group at Farragut
- Internal Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26047
- Legal business name
- SUMMIT MEDICAL GROUP, PLLC
- Doing business as
- Summit Medical Group at Farragut
- Practice address
- 11808 Kingston Pike
Suite 160
Knoxville, TN 37934-3838 - Phone
- (865) 966-3940
- Fax
- (865) 966-6914
- NPI assigned
- Nov 3, 2006
- Last updated
- Nov 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed Curtis
- Title
- Chief Administrative Officer
- Phone
- (865) 584-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26047 | TN | Primary |
Addresses
Primary practice location
11808 Kingston Pike
Suite 160
Knoxville, TN 37934-3838
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other names 1
- Summit Medical Group at Farragut
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000793 | TN | Part B Supplier - Clinic/Group Practice | 2860396330 |
Receives reassigned benefits from 1,153 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0702747 | Summit Medical Group-Farragut | Certificate of waiver | May 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
11808 Kingston Pike
Ste 160
Knoxville, TN 37934
Phone (865) 966-3940
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1346335957
-
- Physician Assistant
- Chattanooga, TN
- NPI 1891769972
-
- Family Nurse Practitioner
- Clinton, TN
- NPI 1720152911
-
- Pediatrics Physician
- Morristown, TN
- NPI 1083709752
-
- Physician Assistant
- Henderson, TN
- NPI 1659676906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1669551149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "SUITE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 KINGSTON PIKE",
"address_2": "SUITE 160",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379343838",
"telephone_number": "865-966-3940",
"fax_number": "865-966-6914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "865-584-4747"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "26047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Medical Group at Farragut",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC (Medical Associates)
- Summit Medical Group, PLLC (Summit Medical Group at Deane Hill)
- Summit Medical Group, PLLC (Trinity Medical Assoc PC)
- Summit Medical Group, PLLC (William L. Burkhart, MD)
- Summit Medical Group, PLLC (Summit Medical Group at Middlebrook)
- Summit Medical Group, PLLC
- Summit Medical Group, PLLC (Tennessee Center for Internal Medicine)
- Summit Medical Group, PLLC (Michael Passarello, MD)
- Summit Medical Group, PLLC (Halls Family Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.