Summit Medical Group PLLC

Pediatrics Physician · Sevierville, TN

Organization Active NPI

NPI number 1235937764

Practice location

629 Middle Creek Rd
Sevierville, TN 37862-5014
Phone
(865) 453-9980

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NPI record

NPI
1235937764
Entity type
Organization (Type 2)
Enumeration date
March 3, 2025
Last updated
March 3, 2025
Certified
March 3, 2025
Organization subpart
Yes
Parent organization
Summit Medical Group PLLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone
(865) 584-4747

Authorized official

Name
Sandra Dee Bowles
Title
Provider Enrollment Coordinator
Phone
(865) 584-4747

Other names

  • Hometown Pediatric Sevierville

About Summit Medical Group PLLC

Summit Medical Group PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 629 Middle Creek Rd, Sevierville, TN 37862-5014. The NPI number 1235937764 was assigned on March 3, 2025 and the record was last updated on March 3, 2025.

The authorized official for this organization is Sandra Dee Bowles, Provider Enrollment Coordinator.

Frequently asked questions

What is the NPI number of Summit Medical Group PLLC?

The NPI number is 1235937764.

What is the phone number of Summit Medical Group PLLC?

The phone number listed for the practice location is (865) 453-9980.

Where is Summit Medical Group PLLC located?

629 Middle Creek Rd, Sevierville, TN 37862-5014.

What is the taxonomy code for Summit Medical Group PLLC?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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