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FARRAGUT FAMILY PRACTICE
NPI 1073546396
Family Medicine in Farragut, TN

Active since July 09, 2006CLIA Certified · 2 labs
11130 KINGSTON PIKE STE 7&8, FARRAGUT, TN 37934(865) 675-1953(833) 908-2090 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Farragut Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARRAGUT FAMILY PRACTICE (NPI 1073546396) is a healthcare organization registered as a family medicine in Farragut, Tennessee and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Ed Curtis, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1073546396
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT MEDICAL GROUP, PLLC
Location Address11130 KINGSTON PIKE STE 7&8Farragut, TN 37934-2865
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 584-1363
Phone(865) 675-1953
Fax(833) 908-2090
Organization SubpartNo
Authorized OfficialEd CurtisChief Administrative Officer · (865) 584-4747
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1073546396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
11130 KINGSTON PIKE STE 7&8, Farragut, TN 37934
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Other Names 1

Doing Business AsFarragut Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0313039

Farragut Family Practice · Knoxville, TN
Active · expires Jul 31, 2027
CLIA Number44D0313039
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorRichard W. Mattison
Laboratory Phone(865) 675-1953
Laboratory LocationFarragut Family Practice11130 Kingston Pk, Ste 7 & 8, Knoxville, TN 37934
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 44D0702747

Summit Medical Group-Farragut · Knoxville, TN
Active · expires May 22, 2028
CLIA Number44D0702747
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Nathan A. Gray
Laboratory Phone(865) 966-9340
Laboratory LocationSummit Medical Group-Farragut11808 Kingston Pk, Ste 160, Knoxville, TN 37934
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK PEACOCK DO
Family Medicine
11130 KINGSTON PIKE STE 7&8
FARRAGUT, TN 37934
Knox County (865) 675-1953
LAUREN E HICKMAN FNP
Nurse Practitioner (Family)
11130 KINGSTON PIKE STE 7&8
FARRAGUT, TN 37934
Knox County (865) 675-1953
DR. RICHARD W MATTISON MD
Family Medicine
11130 KINGSTON PIKE STE 7&8
FARRAGUT, TN 37934
Knox County (865) 675-1953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Medical Group, PLLC's NPI number?

The NPI number for Summit Medical Group, PLLC is 1073546396. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Farragut Family Practice.

Where is Summit Medical Group, PLLC located?

Summit Medical Group, PLLC is located at 11130 Kingston Pike Ste 7&8, Farragut, TN 37934. The listed phone number is (865) 675-1953.

What is Summit Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Summit Medical Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Summit Medical Group, PLLC was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.