Medical Group Summit Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL GROUP SUMMIT INC

Practice address

3901 Central Pike
Suite 352
Hermitage, TN 37076-3419

Phone

(615) 391-5567

Fax

(615) 391-5530

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary Duncan

Title

President

Phone

(615) 373-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Amanda Jean Morehouse Nguyen, MD

  • Surgery Physician
  • Mount Juliet, TN
  • NPI 1184887580

  TN

  Medicare reassignment Care Compare group NPD
• Amber Michelle Reams, NP

  • Gerontology Nurse Practitioner
  • Hermitage, TN
  • NPI 1790378859

  TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1821085259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-882-4000",
            "fax_number": "615-882-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-391-5567",
            "fax_number": "615-391-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP SUMMIT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-373-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707047",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie McKennie
• Linda W McMillan, RN, APN
• Jenna Marie McPherson, PT, DPT
• MD Cpap, Inc.
• Ronald Wayne Meadows, DPH
• Medistaff, LLC
• Medworx
• Dylan Melgar
• Marissa Anne Mencio, M.D.
• Aiyappan Menon, M.D.

• All providers in Hermitage, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.