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MR. ADAM LEE SUMMERLIN M.D. NPI 1366686503


NPI Information

NPI: 1366686503
Provider Name: MR. ADAM LEE SUMMERLIN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
620 SKYLINE DR
JACKSON, TN
ZIP 38301
Phone: (731) 541-6174
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MR. Adam Lee Summerlin, M.D. is a diagnostic radiology radiology in Jackson, TN with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Adam Lee Summerlin, M.D. NPI is 1366686503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

620 SKYLINE DR
JACKSON, TN
ZIP 38301-923
Phone: (731) 541-6174
Fax: (731) 541-8008

The NPI 1366686503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound of head and neck (HCPCS:76536)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of face (HCPCS:70486)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 4/30/2009 and was last updated on 4/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology52582TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q014176MEDICAIDTENNESSEE
2103I309567MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.