MARYVILLE FAMILY MEDICINE
NPI 1255572574
Internal Medicine in Maryville, TN

Active since March 17, 2009CLIA 44D2296857 · Waiver
222 KELLER LN, MARYVILLE, TN 37801(865) 982-7101(833) 908-2132 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2022, Dec 11, 2018 (2 updates tracked since 2018).

About Maryville Family Medicine NPPES

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

MARYVILLE FAMILY MEDICINE (NPI 1255572574) is a healthcare organization registered as an internal medicine in Maryville, Tennessee and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through January 7, 2028, maintains a secondary practice location in Maryville, and lists Ed Curtis, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1255572574
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT MEDICAL GROUP, PLLC
Location Address222 KELLER LNMaryville, TN 37801-6202
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 584-1363
Fax(833) 908-2132
Organization SubpartNo
Authorized OfficialEd CurtisChief Administrative Officer · (865) 584-4747
Enumeration DateMarch 17, 2009
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1255572574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
222 KELLER LN, Maryville, TN 37801

Other Names 1

Doing Business AsMaryville Family Medicine

Secondary Practice Location 1

Location 1701 Morganton Square DrMaryville, TN 37801-4796 · Phone (865) 982-7101 · Fax (833) 908-2132

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryville Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,001

Medicare enrollment records show 1,001 clinicians reassign Medicare billing to Maryville Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner393
Internal Medicine186
Family Practice156
Diagnostic Radiology102
Registered Dietitian or Nutrition Professional39
Physical Therapist in Private Practice26
Pulmonary Disease23
Pediatric Medicine14
20 other specialties62

Nearest to this location (20)

See all 1,001
Nurse Practitioner
NPI 1659173730
222 KELLER LN
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780410761
222 KELLER LN
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1548363534
616 W LAMAR ALEXANDER PKWY
Maryville, TN 37801
(865) 518-0010
✔ PECOS1.0 mi
Pediatric Medicine
NPI 1811921026
616 W LAMAR ALEXANDER PKWY
Maryville, TN 37801
(865) 518-0010
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1609239425
701 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1366054934
701 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1871542233
701 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 984-6823
✔ PECOS1.1 mi
Family Practice
NPI 1588600100
701 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1043521503
701 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 982-7101
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1396744132
659 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 293-9025
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Psychologist
NPI 1598772717
659 MORGANTON SQUARE DR
Maryville, TN 37801
(865) 379-6651
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1043647043
1012 JAMESTOWN WAY
Maryville, TN 37803
(865) 246-2104
✔ PECOS✔ Accepts Medicare1.3 mi
Physical Therapist in Private Practice
NPI 1114174083
1012 JAMESTOWN WAY
Maryville, TN 37803
(865) 984-7400
✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1558871608
414 GREENBELT DR
Maryville, TN 37804
(865) 982-0032
✔ PECOS1.9 mi
Family Practice
NPI 1568774248
266 JOULE ST
Alcoa, TN 37701
(865) 984-3864
✔ PECOS✔ Accepts Medicare2.1 mi
Internal Medicine
NPI 1891721379
111 STATION DR
Maryville, TN 37804
(865) 982-7101
✔ PECOS2.1 mi
Diagnostic Radiology
NPI 1730610916
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
(865) 983-7211
✔ PECOS✔ Accepts Medicare2.3 mi
Gastroenterology
NPI 1598008542
355 BMH PHYSICIANS OFFICE BLDG
Maryville, TN 37804
(865) 980-5060
✔ PECOS✔ Accepts Medicare2.3 mi
Internal Medicine
NPI 1053498204
418 MARILYN LN
Alcoa, TN 37701
(865) 984-6203
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1992882021
418 MARILYN LN
Alcoa, TN 37701
(865) 984-6203
✔ PECOS✔ Accepts Medicare2.4 mi
See all 1,001 clinicians

Source: 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 of Waiver 44D2296857

Maryville Family Medicine · Maryville, TN
Active · expires Jan 7, 2028
CLIA Number44D2296857
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorJeffrey Stevens
Laboratory Phone(865) 982-7101
Laboratory LocationMaryville Family Medicine222 Keller Lane, Maryville, TN 37801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1255572574. It was assigned to this organization in the NPPES registry on March 17, 2009. The provider is doing business as Maryville Family Medicine.

Where is Summit Medical Group, PLLC located?

Summit Medical Group, PLLC is located at 222 Keller Ln, Maryville, TN 37801. The listed phone number is (865) 982-7101.

What is Summit Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 2 practice at this address and 56 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 of Waiver (number 44D2296857) is associated with this NPI, valid through January 7, 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 February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.