Active NPI
Summitt Group, Inc
- Customized Equipment (DME)
- Chattanooga, TN
National Provider Identifier
1780778456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 0000000747
- Legal business name
- SUMMITT GROUP, INC
- Practice address
- 606 Georgia Ave FL 2
Chattanooga, TN 37402-1418 - Phone
- (423) 893-9121
- Fax
- (423) 893-9133
- NPI assigned
- Oct 3, 2006
- 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
- Mr. Rob D Summitt, ATS, CRTS
- Title
- President, Ceo
- Phone
- (423) 893-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 0000000747 | TN | Primary |
Addresses
Primary practice location
606 Georgia Ave FL 2
Chattanooga, TN 37402-1418
Mailing address
606 Georgia Ave FL 2
Chattanooga, TN 37402-1418
Phone (423) 893-9121
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454244 | Medicaid | TN | |
| TN0100 | Other | TN | PIN JOHN DEERE NAT'L/TNCR |
| 52823185 | Other | GA | PIN BCBS GA STATE EMP |
| 890-13447 | Other | TN | PIN BCBS OF AL |
| 00B46 | Other | TN | PIN STATE TN WAIVER |
National Provider Directory
National Provider DirectoryLocations
606 Georgia Ave
Fl 2
Chattanooga, TN 37402
Phone (423) 893-9121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1780778456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 GEORGIA AVE FL 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021418",
"telephone_number": "423-893-9121",
"fax_number": "423-893-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 GEORGIA AVE FL 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021418",
"telephone_number": "423-893-9121",
"fax_number": "423-893-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMITT GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "SUMMITT",
"authorized_official_first_name": "ROB",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "423-893-9121",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ATS, CRTS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TN",
"license": "0000000747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454244",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN JOHN DEERE NAT'L/TNCR",
"identifier": "TN0100",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN BCBS GA STATE EMP",
"identifier": "52823185",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN BCBS OF AL",
"identifier": "890-13447",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN STATE TN WAIVER",
"identifier": "00B46",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Matthew Dillon Summers
- Phillip Kyle Summers
- Summit Counseling Center (Ridgedale Baptist Church)
- Summit Counseling Center, LLC
- Summit Medical Group PLLC (Chattanooga Family Practice)
- Sun-Hwan Chu, PH.D., LLC
- Brad W Sundstrom, DMD
- Sunrise Dental Associates, PLLC
- Sunshine Medical Solutions, Inc.
- Angelina A Supan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.