SUMMIT MEDICAL GROUP, PLLC
NPI 1124646559
Family Medicine in Wartburg, TN
About Summit Medical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL GROUP, PLLC (NPI 1124646559), doing business as Summit Medical Group At Wartburg, is a healthcare organization registered as a family medicine in Wartburg, Tennessee and active in the NPI registry since July 2020. The organization holds a CLIA Microscopy certificate valid through August 30, 2028 and lists Allison Hall, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,001Medicare enrollment records show 1,001 clinicians reassign Medicare billing to Summit Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 1,001Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 44D2191703
Summit Medical Group At Wartburg Family Medicine & Urgent Care · Wartburg, TNFrequently 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 1124646559. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Summit Medical Group at Wartburg.
Where is Summit Medical Group, PLLC located?
Summit Medical Group, PLLC is located at 1825 Knoxville Hwy, Wartburg, TN 37887. The listed phone number is (423) 346-3600.
What is Summit Medical Group, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Summit Medical Group, PLLC enrolled in Medicare?
Yes. Summit Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,001 clinicians in 28 Medicare specialties reassign their Medicare billing to Summit Medical Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (393), Internal Medicine (186) and Family Practice (156). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Summit Medical Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2191703) is associated with this NPI, valid through August 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Summit Medical Group, PLLC was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summit Medical Group, Pllc · NPI 1124646559
Family Medicine organization in Wartburg, Tennessee. Organization record, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1124646559 (Entity type: Organization)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Summit Medical Group at Wartburg (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Allison Hall, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1825 KNOXVILLE HWY, Wartburg, TN 37887
- **Phone:** (423) 346-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,001 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (393), Internal Medicine (186), Family Practice (156); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1124646559/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124646559) · Data from the CMS NPPES public registry.