SUMMIT MEDICAL GROUP PLLC
NPI 1225835754
Pediatrics in Jefferson City, TN

Q: What is Summit Medical Group PLLC's NPI number?

The NPI number for Summit Medical Group PLLC is 1225835754. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Hometown Pediatric Jefferson City.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 03, 2025

123 MOSSY CREEK DRIVE, JEFFERSON CITY, TN 37760(865) 475-5377 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2025, Mar 3, 2025 (2 updates tracked since 2025).

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 1225835754), doing business as Hometown Pediatric Jefferson City, is a healthcare organization registered as a pediatrics in Jefferson City, Tennessee and active in the NPI registry since March 2025. The organization lists Sandra Dee Bowles, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1225835754

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSUMMIT MEDICAL GROUP PLLC

Location Address123 MOSSY CREEK DRIVEJefferson City, TN 37760-2410

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747

Phone(865) 475-5377

Organization SubpartYes

Authorized OfficialSandra Dee BowlesProvider Enrollment Coordinator · (865) 584-4747

Enumeration DateMarch 3, 2025

Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1225835754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

123 MOSSY CREEK DRIVE, Jefferson City, TN 37760

Open in Google Maps ↗

Other Names 1

Doing Business AsHometown Pediatric Jefferson City

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

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 1225835754. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Hometown Pediatric Jefferson City.

Where is Summit Medical Group PLLC located?

Summit Medical Group PLLC is located at 123 Mossy Creek Drive, Jefferson City, TN 37760. The listed phone number is (865) 475-5377.

What is Summit Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Summit Medical Group PLLC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.