Sumner Physician Practices LLC
Organization Active NPI Rural Health Clinic/Center · Gordonsville, TN
NPI 1740918630 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1740918630
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- SUMNER PHYSICIAN PRACTICES LLC
- Practice address
- 14 Main St E Ste B
Gordonsville, TN 38563-2054 - Phone
- (615) 588-1015
- Fax
- (615) 588-1018
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Owners & managing parties with NPI records 3
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 9
Member of 1
Facilities with the same owner 347
Practitioners 59
-
Justin Robert Brown, FNP
-
Mark-Mina Maher Ishak, D.O.
-
Doris Appiah, MD
-
Kelly S Barry, MD
-
Ilysa Bartol, PA-C
-
Mihika Batavia, D.O.
-
Kaley A Bevel, MD
-
Kelly Bornefeld, APRN, FNP-C
-
James J Botsko, M.D.
-
Whitney Nicole Buck, M.D.
-
Anne-Drew Meggs Bullard, PA-C
-
Morlee Burgess, D.O.
-
Brooke N Counce, FNP-C
-
Clayton Crawley, DO
-
Colleen Curtis, FNP-BC
-
Nicholas J Dantzker, M.D.
-
Sabra Swaims Gentry, FNP
-
William G Glover, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2084555 | Sumner Physician Practices, LLC Dba Highpoint | Certificate of waiver | Sep 24, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Rural health clinic certification: CCN 883941
- Legal name
- SUMNER PHYSICIAN PRACTICES LLC
- Doing business as
- HIGHPOINT FAMILY WELLNESS - GORDONSVILLE WITH ASCENSION SAINT THOMAS
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 8, 2023
- Last certification
- Mar 8, 2023
- Ownership / control type
- 1B
- Organization structure
- LLC · Proprietary
- Enrollment address
- 14 Main St E
Ste B
Gordonsville, TN 38563-2054
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
| Pamela Kane |
Corporate Officer |
Oct 1, 2022 | |
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
| Laura C Hinson |
Corporate Officer |
Mar 12, 2025 | |
| Lifepoint Hospitals Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
| Historic Lifepoint Hospitals, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
| Highpoint Partner, LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2023 | 80% |
| Charlotte E Lawrence |
Corporate Officer |
Oct 1, 2022 | |
| HSC Manager LLC |
Operational/Managerial Control | Dec 1, 2023 | |
| Highpoint Healthcare, LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2023 | 100% |
| Saint Thomas Network |
5% Or Greater Indirect Ownership Interest | Dec 1, 2023 | 20% |
| Elliott Brown |
Corporate Officer |
Apr 2, 2026 | |
| Saint Thomas Health |
5% Or Greater Indirect Ownership Interest | Dec 1, 2023 | 20% |
| Klaus Michael Boel |
Corporate Officer |
Aug 19, 2024 | |
| W-2 Managing Employee | Aug 19, 2024 | ||
| Ascension Health |
5% Or Greater Indirect Ownership Interest | Dec 1, 2023 | 20% |
| Christopher J Monte |
Corporate Officer |
Oct 1, 2022 | |
| Baptist Health Care Affiliates Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2023 | 20% |
| Legacy Lifepoint Health LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2022 | 80% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101112000475 | TN | Part B Supplier - Clinic/Group Practice | 8820283260 |
Receives reassigned benefits from 123 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gallatin, TN; Gordonsville, TN; Hartsville, TN; Hendersonville, TN; Lafayette, TN; Lebanon, TN; Nashville, TN; Portland, TN… |
| O20220928000528 | TN | Part a Provider - Rural Health Clinic | 8820283260 | Practice locations: Gordonsville, TN |
National Provider Directory
- Tax ID family
- Sumner Physician Practices
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
14 Main St E Ste B
Gordonsville, TN 38563-2054
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names
- Highpoint Family Wellness - Gordonsville with Ascension Saint Thomas
Other providers in Gordonsville, TN
- Leslie Renae Sharpe
- Bobby Show
- Anna Catherine Sircy
- Smith County Family Care, P.C.
- Smith County Family Medical LLC
- Dayna L Sykes
- Charli Vaden
All providers in Gordonsville, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.