Organization Active NPI

Sumner Medical Group, PLLC

  • Primary Care Clinic/Center
  • Gallatin, TN
National Provider Identifier
1831646017
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUMNER MEDICAL GROUP, PLLC
Practice address
179 Hancock St
402
Gallatin, TN 37066-6346
Phone
(615) 452-5943
NPI assigned
Sep 6, 2016
Organization subpart
Yes
Parent organization
SUMNER MEDICAL GROUP - LW, PLCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Janet Bolstad
Title
Cfo
Phone
(615) 989-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

179 Hancock St
402
Gallatin, TN 37066-6346

Mailing address

300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089
Phone (615) 230-8070

National Provider Directory

National Provider Directory
Part of
SMG Lab PLLC Idtf

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1831646017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663089",
            "telephone_number": "615-230-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANCOCK ST",
            "address_2": "402",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666346",
            "telephone_number": "615-452-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMNER MEDICAL GROUP - LW, PLCC",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "BOLSTAD",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-989-4324"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.