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

Q: 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.

Q: What is Summit Medical Group, PLLC's specialty?

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

Active since July 13, 2020CLIA 44D2191703 · Microscopy

1825 KNOXVILLE HWY, WARTBURG, TN 37887(423) 346-3600 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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, 2026 and lists Allison Hall, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124646559

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUMMIT MEDICAL GROUP, PLLC

Location Address1825 KNOXVILLE HWYWartburg, TN 37887

Mailing Address1275 Dick Lonas RdKnoxville, TN 37909-1382 · (865) 584-4747

Phone(423) 346-3600

Organization SubpartNo

Authorized OfficialAllison HallCredentialing Coordinator · (865) 584-4747

Enumeration DateJuly 13, 2020

NPPES CertifiedJuly 13, 2020

✔ NPI 1124646559 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.

1825 KNOXVILLE HWY, Wartburg, TN 37887

Open in Google Maps ↗

Other Names 1

Doing Business AsSummit Medical Group At Wartburg

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 44D2191703

Summit Medical Group At Wartburg Family Medicine & Urgent Care · Wartburg, TN

Active · expires Aug 30, 2026

CLIA Number44D2191703

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorDr. Jonathan B. Laymance

Laboratory Phone(423) 346-3600

Laboratory LocationSummit Medical Group At Wartburg Family Medicine & Urgent Care1825 Knoxville Hwy, Wartburg, TN 37887

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 7

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

MRS. CAITLYN DAVIS

Physician Assistant