SUMMIT MEDICAL GROUP,PLLC
NPI 1023871340
Ophthalmology - Retina Specialist in Lenoir City, TN
NPI Status: Active since January 31, 2024
Contact Information
5491 CREEKWOOD PARK BLVD
LENOIR CITY, TN
ZIP 37772
Phone: (800) 500-4667
Fax: (833) 448-2983
- Organization
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- CLIA Number: 44D0312699
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-26-2027
About SUMMIT MEDICAL GROUP,PLLC
This page provides the complete NPI Profile along with additional information for Summit Medical Group,pllc, a provider established in Lenoir City, Tennessee operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1023871340 assigned on January 2024. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Summit Medical Group,pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer Raney (Provider Enrollment Supervisor)
- NPI
- 1023871340
- Provider Name
- SUMMIT MEDICAL GROUP,PLLC
- Entity Type
- Organization
- Location Address
- 5491 CREEKWOOD PARK BLVD LENOIR CITY, TN 37772
- Location Phone
- (800) 500-4667
- Location Fax
- (833) 448-2983
- Mailing Address
- 1275 DICK LONAS RD KNOXVILLE, TN 37909
- Mailing Phone
- (865) 584-4747
- Mailing Fax
- (833) 448-2983
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-31-2024
- Last Update Date
- 01-31-2024
- Code Navigator
Location Map
Secondary Locations
- 1639 W Morris Blvd
Morristown, TN 37813
(800) 500-4667 - 7714 Conner Rd Ste 102
Powell, TN 37849
(800) 500-4667 - 320 Cheshire Dr
Knoxville, TN 37919
(800) 500-4667 - 1798 Roane State Hwy
Harriman, TN 37748
(800) 500-4667
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple - EPO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Bronze Simple Chronic Care CKM - EPO
- Bronze Simple Diabetes - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple Women's Health with Menopause Benefits - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0312699
- Facility Type
- Physician Office
- Certificate Effective Date
- June 27, 2025
- Certificate Expiration Date
- June 26, 2027
- Laboratory Director
- DR. LUKE E. CHESNEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Summit Medical Group,pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023871340, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LENOIR CITY, TN 37772
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023871340, enumerated as an "organization" on January 31, 2024.
The provider is located at 5491 CREEKWOOD PARK BLVD LENOIR CITY, TN 37772 and the phone number is (800) 500-4667.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.
