Summit Spine Associates PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SUMMIT SPINE ASSOCIATES PA

Practice address

4415 US Highway 331 S Ste 300
Defuniak Springs, FL 32435-6307

Phone

(404) 922-3764

NPI assigned

Jul 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Jimenez, MDNPI 1649204751

Title

Owner

Phone

(404) 922-3764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel A Jimenez, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Smyrna, GA
  • NPI 1649204751

  FL, Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1780576033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 POINTE PKWY",
            "city": "PEACHTREE COR",
            "state": "GA",
            "postal_code": "300923343",
            "telephone_number": "404-922-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 US HIGHWAY 331 S STE 300",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "404-922-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-922-3764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Surgery Clinic
• Sabrina Marie Stout
• Dylan Stovall, LCSW
• Tiana Street, RBT
• Pamela Kay Stuckey
• SVS Drug Co Dufuniak Springs FL Inc (Service Drug Company)
• Ravyn Tate
• Francis Edward Tenewitz, M.D.
• Emily M Tew, RBT
• The Arc of Walton County, Inc.

• Orthopaedic Surgery Physician in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.