Organization Active NPI

Summitt Group, Inc

  • Customized Equipment (DME)
  • Chattanooga, TN
National Provider Identifier
1780778456
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0000000747 Issued in TN
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

Updated by the provider on Apr 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1454244MedicaidTN
TN0100OtherTNPIN JOHN DEERE NAT'L/TNCR
52823185OtherGAPIN BCBS GA STATE EMP
890-13447OtherTNPIN BCBS OF AL
00B46OtherTNPIN STATE TN WAIVER

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.