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: July 26, 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

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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
222 KELLER LN
MARYVILLE, TN 37801
Nurse Practitioner (Family)
222 KELLER LN
MARYVILLE, TN 37801

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.

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 with the weekly NPPES data releases published by CMS.