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SUMMIT MEDICAL GROUP PLLC NPI 1629157292


NPI Information

NPI: 1629157292
Provider Name: SUMMIT MEDICAL GROUP, PLLC

Doing Business As: SUMMIT MEDICAL GROUP AT DEANE HILL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D0312699

Address:
7211 WELLINGTON DR
SUITE 201
KNOXVILLE, TN
ZIP 37919
Phone: (865) 584-5762
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SUMMIT MEDICAL GROUP, PLLC is a family medicine in Knoxville, 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 1629157292. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Medical Group At Deane Hill.

The provider's business location address is:

7211 WELLINGTON DR
SUITE 201
KNOXVILLE, TN
ZIP 37919-968
Phone: (865) 584-5762
Fax: (865) 584-3403

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 44D0312699 - 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 11/5/2015.


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
1207Q00000XFamily Medicine7065TENNESSEEYes

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
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: 4/28/2024

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