Individual provider Active NPI

Dawn Michelle Summerhill, NP

  • Primary Care Nurse Practitioner
  • Gun Barrel City, TX
National Provider Identifier
1881468486
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1141459 Issued in TX
Practice address
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone
(903) 887-1092
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1141459 TX Primary

Addresses

Primary practice location

126 W Main St Ste C
Gun Barrel City, TX 75156-5404

Mailing address

815 E Royall Blvd Ste 3
Malakoff, TX 75148-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428002337 TX Practitioner - Nurse Practitioner 6901322460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Family Medicine PLLCGroup PAC ID 1850715558, 4 clinicians

Practice addresses (Care Compare)

126 W Main St
Suite C
Gun Barrel City, TX 75156-5404
Phone (903) 887-1092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine PLLC Primary Care CurrentSince Jan 9, 2025 Accepting new patients
Paul Sanner MD PA CurrentSince Nov 19, 2023 Accepting new patients

Locations

126 W Main St
Ste C
Gun Barrel City, TX 75156
Phone (214) 912-0616

815 E Royall Blvd
Ste 3
Malakoff, TX 75148
Phone (903) 489-0101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADGDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1881468486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E ROYALL BLVD STE 3",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751489255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST STE C",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565404",
            "telephone_number": "903-887-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERHILL",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1141459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

Verify at the official NPI Registry.