SUMMIT MEDICAL GROUP, PLLC (NPI# 1467531954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467531954 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, PLLC |
| Other Organization Name | SUMMIT MEDICAL GROUP OF CLINTON |
| Practice Address |
121 Frank Diggs Road Clinton TN 37716 |
| Mailing Address |
1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8654578840 |
| Practice Fax Number | 8654630756 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-11-05 |
| NPI Deactivation Date | 08/25/2008 |
| NPI Reactivation Date | 2010-10-19 |
| 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 | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Summit Medical Group of Clinton | 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 |
| 1306915327 | Summit Medical Group, Pllc | Family Medicine | 641middle Creek Road, Sevierville, TN 37863 | 2006-11-06 |
| 1962581587 | Summit Medical Group, Pllc | Family Medicine | 1208 Merchants Dr, Knoxville, TN 37912-4707 | 2006-11-03 |
| Street Address |
121 FRANK DIGGS ROAD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743571 | Melody Camille Tharp | Family Medicine | 121 Frank Diggs Road, Clinton, TN 37716 | 2005-07-12 |
| 1982073680 | Kristen N. Webb | Nurse Practitioner | 121 Frank Diggs Road, Clinton, TN 37716 | 2015-09-23 |
| 1871930206 | Wendy N. Mayes | Nurse Practitioner | 121 Frank Diggs Road, Clinton, TN 37716 | 2013-05-24 |
| 1649416652 | Meredith B Fawver | Nurse Practitioner | 121 Frank Diggs Road, Clinton, TN 37716 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| 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. |
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| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.