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SUMMIT PRIMARY CARE
NPI 1255419255
Family Medicine in Hermitage, TN

Active since November 01, 2006CLIA 44D0903784 · Certificate of Compliance
3939 CENTRAL PIKE, HERMITAGE, TN 37076(615) 883-2331(615) 391-1785 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Primary Care NPPES

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

SUMMIT PRIMARY CARE (NPI 1255419255) is a healthcare organization registered as a family medicine in Hermitage, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 9, 2027 and lists William Dugan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255419255
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT PRIMARY CARE
Location Address3939 CENTRAL PIKEHermitage, TN 37076-3499
Mailing Address3939 Central PikeHermitage, TN 37076-3499 · (615) 391-1515 · Fax (615) 391-1785
Phone(615) 883-2331
Fax(615) 391-1785
Organization SubpartNo
Authorized OfficialWilliam DuganAdministrator · (615) 391-1515
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1255419255 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.
3939 CENTRAL PIKE, Hermitage, TN 37076
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Other Names 1

Doing Business AsSummit Primary Care

Other Identifiers 3

Other44D0903784Clia #
Other3719493Group Medicare
Other27034Caqh

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Compliance 44D0903784

Advanced Diagnostic Imaging PC Dba Summit Primary Care · Hermitage, TN
Active · expires Oct 9, 2027
CLIA Number44D0903784
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorRobert B. Gaston Jr
Laboratory Phone(615) 883-2331
Laboratory LocationAdvanced Diagnostic Imaging PC Dba Summit Primary Care3939 Central Pike, Hermitage, TN 37076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Bobbie ***** November 24, 2025

5/5
Dr. Pak is a great doctor, I’m very lucky to have him as my physician, always listens to everything I have to say and then he provides the care that’s needed. Thank you, Dr.Pak!
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 12

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

ROBERT BERNARD GASTON JR. MD
Family Medicine
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
AMANDA SHER FALLOS PA-C
Physician Assistant (Medical)
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
MR. KENNETH ROY HENRY P.A.-C.
Physician Assistant (Medical)
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
MINDI HAMBY MD
Family Medicine
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
KARI HAMMER PA-C
Physician Assistant
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
JOHN SCOTT MAJOR MD
Family Medicine
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
MATTHEW H MILLIGAN MD
Family Medicine
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331
DEMETRIA EDWARDS PA-C
Physician Assistant
3939 CENTRAL PIKE
HERMITAGE, TN 37076
Davidson County (615) 883-2331

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 Primary Care's NPI number?

The NPI number for Summit Primary Care is 1255419255. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Summit Primary Care located?

Summit Primary Care is located at 3939 Central Pike, Hermitage, TN 37076. The listed phone number is (615) 883-2331.

What is Summit Primary Care's specialty?

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

Does Summit Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0903784) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Primary Care accept?

Health plans from Medica list Summit Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Primary Care was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.