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SUMMIT MEDICAL GROUP PLLC NPI 1932288594


NPI Information

NPI: 1932288594
Provider Name: SUMMIT MEDICAL GROUP, PLLC

Doing Business As: SUMMIT FAMILY MEDICINE GREENEVILLE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D0311363

Address:
1404 TUSCULUM BLVD
LAUGHLIN MOB #3, SUITE 2300
GREENEVILLE, TN
ZIP 37745
Phone: (423) 639-2161
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SUMMIT MEDICAL GROUP, PLLC is a family medicine in Greeneville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUMMIT MEDICAL GROUP, PLLC NPI is 1932288594. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Family Medicine Greeneville.

The provider's business location address is:

1404 TUSCULUM BLVD
LAUGHLIN MOB #3, SUITE 2300
GREENEVILLE, TN
ZIP 37745-395
Phone: (423) 639-2161
Fax: (423) 787-1904

The provider's authorized official is Ed Curtis .
The authorized official title is Chief Administrative Officer and has the following contact phone number (865) 584-4747.

The CLIA number assigned to this NPI record is 44D0311363 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/13/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine14987TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA0696MEDICARE PINTENNESSEE
23706633MEDICARE 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: 5/5/2024

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