SUMMIT PHYSICIAN GROUP LLP
NPI 1104343581
Family Medicine in Tuscaloosa, AL

Q: What is Summit Physician Group LLP's NPI number?

The NPI number for Summit Physician Group LLP is 1104343581. It was assigned to this organization in the NPPES registry on August 25, 2017.

Q: What is Summit Physician Group LLP's specialty?

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

Active since August 25, 2017CLIA 01D2236316 · Waiver

657 HELEN KELLER BLVD, TUSCALOOSA, AL 35404(205) 343-6979(205) 490-2374 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Jun 30, 2021, Aug 25, 2017 (3 updates tracked since 2017).

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About Summit Physician Group Llp NPPES

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

SUMMIT PHYSICIAN GROUP LLP (NPI 1104343581) is a healthcare organization registered as a family medicine in Tuscaloosa, Alabama and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Oleksandra Kruhliakivska, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1104343581

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUMMIT PHYSICIAN GROUP LLP

Location Address657 HELEN KELLER BLVDTuscaloosa, AL 35404-2983

Mailing Address1655 Mcfarland Blvd N, Po Box 189Tuscaloosa, AL 35406-2212 · (205) 343-6979 · Fax (205) 490-2374

Phone(205) 343-6979

Fax(205) 490-2374

Organization SubpartNo

Authorized OfficialOleksandra KruhliakivskaBusiness Manager · (205) 343-6979

Enumeration DateAugust 25, 2017

Last NPPES UpdateMay 9, 20253 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1104343581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedHospitalistTaxonomy 208M00000X

657 HELEN KELLER BLVD, Tuscaloosa, AL 35404

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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

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 of Waiver 01D2236316

Summit Physician Group, LLP · Tuscaloosa, AL

Active · expires Sep 15, 2027

CLIA Number01D2236316

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorCharles E. Abney

Laboratory Phone(205) 393-2347

Laboratory LocationSummit Physician Group, LLP657 Helen Keller Blvd, Tuscaloosa, AL 35404

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. CYNTHIA C WALKER M.D.

Specialist