SUMMIT MEDICAL GROUP, PLLC (NPI# 1306915327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306915327 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, PLLC |
| Other Organization Name | CHARLES H. BOZEMAN, II, MD |
| Practice Address |
641middle Creek Road Sevierville TN 37863 |
| Mailing Address |
1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8654280583 |
| Practice Fax Number | 8654281625 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | ED CURTIS (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8655844747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 09612 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Charles H. Bozeman, II, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646559 | Summit Medical Group, Pllc | Family Medicine | 1825 Knoxville Hwy, Wartburg, TN 37887 | 2020-07-13 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1245898303 | Summit Medical Group, Pllc | Clinic/Center | 7545 Barnett Way Ste A, Powell, TN 37849-3565 | 2019-06-04 |
| 1700302098 | Summit Medical Group, Pllc | Internal Medicine | 202 Dohi Drive, Loudon, TN 37774 | 2017-08-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
| 1033425780 | Summit Medical Group, Pllc | Family Medicine | 1924 Pinnacle Pointe Way, Suite 100, Knoxville, TN 37922 | 2010-08-19 |
| 1942371398 | Summit Medical Group, Pllc | Family Medicine | 6537 Kingston Pike, Knoxville, TN 37919-4826 | 2006-11-09 |
| 1962581587 | Summit Medical Group, Pllc | Family Medicine | 1208 Merchants Dr, Knoxville, TN 37912-4707 | 2006-11-03 |
| 1003319237 | Summit Medical Group, Pllc | Family Medicine | 2497 S Roane St Ste 110, Harriman, TN 37748-8666 | 2018-03-14 |
| Street Address |
641MIDDLE CREEK ROAD |
| City | SEVIERVILLE |
| State | TN |
| Zip Code | 37863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271502 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 3064 Teaster Lane, Pigeon Forge, TN 37863 | 2019-12-05 |
| 1154720654 | Carissa Andres | Physical Medicine & Rehabilitation | 170 Community Center Drive, Pigeon Forge, TN 37863 | 2014-08-20 |
| 1639392129 | John D Mayberry | Marriage & Family Therapist | 3225 Gold Dust Dr, Pigeon Forge, TN 37863 | 2007-04-11 |
| 1700866522 | Hqm of Pigeon Forge, LLC | Nursing Facility/Intermediate Care Facility | 415 Cole Dr., Pigeon Forge, TN 37863 | 2006-01-18 |
| 1295826048 | James David Garmany | Nurse Practitioner | 119 Sugarfoot Way, Pigeon Forge, TN 37863 | 2006-09-27 |
| 1528079746 | Ralph T Copenhaver | Dentist | 2610 Florence Drive, Pigeon Forge, TN 37863-3203 | 2006-08-11 |
| 1396849105 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2415 Parkway, Pigeon Forge, TN 37863-3228 | 2006-09-12 |
| 1407209000 | Urgent Care of The Smokies LLC | Clinic/Center | 2656 Parkway, Suite 4, Pigeon Forge, TN 37863-3246 | 2016-07-19 |
| 1639441397 | Caring Hearts and Hands of Tennessee, LLC | In Home Supportive Care | 226 Bellwood Ave, Pigeon Forge, TN 37863-3303 | 2012-01-27 |
| 1003910068 | Stewarts Drug Inc No 2 | Pharmacy | 3120 Parkway, Pigeon Forge, TN 37863-3310 | 2006-09-12 |
| Find all providers in zip 37863 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496274 | Community Center Health LLC | Family Medicine | 1548 Parkway Ste 202, Sevierville, TN 37862-4020 | 2018-05-02 |
| 1942638838 | University Health System, Inc | Family Medicine | 958 Dolly Parton Pkwy, Ste 4, Sevierville, TN 37862-3707 | 2013-10-31 |
| 1932491446 | Cecil Sidney Sherk | Family Medicine | 4559 Pittman Center Rd, Sevierville, TN 37876-9102 | 2011-05-03 |
| 1922292101 | University Health System, Inc | Family Medicine | 1130 Middlecreek Rd, Ste 260, Sevierville, TN 37862-5014 | 2007-08-30 |
| 1861526667 | Kristie G Young | Family Medicine | 657 Middle Creek Rd, Sevierville, TN 37862-5014 | 2007-03-15 |
| 1720150840 | Samuel W Mcgaha | Family Medicine | 1235 Dolly Parton Parkway, Suite # 2, Sevierville, TN 37862 | 2006-11-14 |
| 1649212283 | William J Fry | Family Medicine | 1124 Fox Meadows Blvd, Suite 3, Sevierville, TN 37862-6927 | 2006-06-11 |
| 1801838578 | Charles H Bozeman II | Family Medicine | 641 Middle Creek Rd, Sevierville, TN 37862-5014 | 2006-06-10 |
| 1891747853 | Kenneth Lee Justice | Family Medicine | 435 Parkway, Sevierville, TN 37862-4152 | 2006-05-17 |
| 1700853058 | Steven Wayne Johnson | Family Medicine | 1105 Oak Cluster Drive, Sevierville, TN 37862 | 2006-03-07 |
| Find all providers in SEVIERVILLE | ||||
| City | SEVIERVILLE |
| Zip Code | 37863 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.