SUMMIT MEDICAL GROUP, PLLC
NPI 1124646559
Family Medicine in Wartburg, TN

NPI Status: Active since July 13, 2020

Contact Information

1825 KNOXVILLE HWY
WARTBURG, TN
ZIP 37887
Phone: (423) 346-3600

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  • Organization
  • Family Medicine
  • CLIA Number: 44D2191703
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-30-2026

About SUMMIT MEDICAL GROUP, PLLC

This page provides the complete NPI Profile along with additional information for Summit Medical Group, Pllc, a primary care provider established in Wartburg, Tennessee operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1124646559 assigned on July 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Allison Hall (Credentialing Coordinator)

NPI
1124646559
Provider Name
SUMMIT MEDICAL GROUP, PLLC
Entity Type
Organization
Location Address
1825 KNOXVILLE HWY WARTBURG, TN 37887
Location Phone
(423) 346-3600
Mailing Address
1275 DICK LONAS RD KNOXVILLE, TN 37909
Mailing Phone
(865) 584-4747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2020
Last Update Date
07-13-2020
Code Navigator

A primary care provider (PCP) like Summit Medical Group, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALLISON HALL

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(865) 584-4747

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
44D2191703
Facility Type
Physician Office
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
DR. JONATHAN B. LAYMANCE
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 1124646559, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 2 + 4 + 1 + 2 + 5 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124646559.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner (Family)
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Physician Assistant
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner (Family)
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner (Family)
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Family Medicine
1825 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner (Family)
1825 KNOXVILLE HWY
WARTBURG, TN 37887

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124646559, enumerated as an "organization" on July 13, 2020.

The provider is located at 1825 KNOXVILLE HWY WARTBURG, TN 37887 and the phone number is (423) 346-3600.

Family Medicine with taxonomy code 207Q00000X.