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SUMMIT EXPRESS CLINIC AT FOUNTAIN CITY
NPI 1225117583
Family Medicine in Knoxville, TN

Active since November 06, 2006CLIA 44D1060364 · Waiver
103 MIDLAKE DR, LOWER LEVEL, KNOXVILLE, TN 37918(865) 470-2696(865) 687-8176 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Express Clinic At Fountain City NPPES

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

SUMMIT EXPRESS CLINIC AT FOUNTAIN CITY (NPI 1225117583) is a healthcare organization registered as a family medicine in Knoxville, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Ed Curtis, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1225117583
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT MEDICAL GROUP, PLLC
Location Address103 MIDLAKE DR, LOWER LEVELKnoxville, TN 37918-3039
Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747 · Fax (865) 584-1363
Phone(865) 470-2696
Fax(865) 687-8176
Organization SubpartNo
Authorized OfficialEd CurtisChief Administrative Officer · (865) 584-4747
Enumeration DateNovember 6, 2006
Last NPPES UpdateNovember 5, 2015
✔ NPI 1225117583 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.
103 MIDLAKE DR, Knoxville, TN 37918
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Other Names 1

Doing Business AsSummit Express Clinic At Fountain City

Other Identifiers 2

Medicare PINCA0696TN
Medicare PIN3706633TN

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 44D1060364

Summit Express Clinic At Fountain City · Knoxville, TN
Active · expires Feb 2, 2028
CLIA Number44D1060364
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorDr. John L. Law
Laboratory Phone(865) 687-7704
Laboratory LocationSummit Express Clinic At Fountain City103 Midlake Dr, Knoxville, TN 37918
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 16

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

BRIAN T MOSRIE MD
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-1973
COURTNEY BEELER SHARP FNP
Nurse Practitioner (Family)
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-1973
SUMMIT MEDICAL GROUP, PLLC
Family Medicine
103 MIDLAKE DR, UPPER LEVEL
KNOXVILLE, TN 37918
Knox County (865) 687-1973
JUSTIN WAYNE QUINN MD
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-1973
STEVEN B MASTERS MD
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-1973
KRYSTLE MCCULLOUGH MSN, APRN, FNP-C
Nurse Practitioner (Family)
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-7704
KATHERINE CHILTON BELLMORE MD
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-1973
CAROLINE FENTRESS MARINI LMSW
Social Worker (Clinical)
103 MIDLAKE DR
KNOXVILLE, TN 37918
Knox County (865) 687-7704

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 1225117583. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Summit Express Clinic At Fountain City.

Where is Summit Medical Group, PLLC located?

Summit Medical Group, PLLC is located at 103 Midlake Dr Lower Level, Knoxville, TN 37918. The listed phone number is (865) 470-2696.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1060364) is associated with this NPI, valid through February 2, 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 November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.