Summit Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24664 Issued in TN

Legal business name

SUMMIT MEDICAL GROUP, PLLC

Practice address

200 Fort Sanders West Blvd
Medical Office BLDG #1 Suite 304
Knoxville, TN 37922-3357

Phone

(865) 531-8848

Fax

(865) 693-1398

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Addresses

Other names 1

• Tennessee Center for Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 10

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

• Janice O Branson, NP

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1093751851
  NPD
• Ashley K Bruce, FNP

  • Family Nurse Practitioner
  • Farragut, TN
  • NPI 1740237932
  NPD
• Shannon L Byrd, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1265477400
  NPD
• Justin E Hill, PA

  • Physician Assistant
  • Hermitage, TN
  • NPI 1770865677
  NPD
• Stacey Hinkle, P.A.-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1851622237
  NPD
• Casey Elizabeth Larue, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1104025105
  NPD
• Carlie Grey Mullen, NP

  • Family Nurse Practitioner
  • Powell, TN
  • NPI 1952699837
  NPD
• Walker Eugene Nowell, DO

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1760428387
  NPD
• Allison Prytula, PA-C

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1033975404
  NPD
• Lori A. Wilkerson, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1194121723
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1801975172",
    "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": "200 FORT SANDERS WEST BLVD",
            "address_2": "MEDICAL OFFICE BLDG #1 SUITE 304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223357",
            "telephone_number": "865-531-8848",
            "fax_number": "865-693-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "24664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Center for Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC

• Internal Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Internal Medicine Physician in Tennessee

• 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.

Verify at the official NPI Registry.