HOMETOWN MEDICAL CLINIC
NPI 1295072304
Family Medicine in Madisonville, TN

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

The NPI number for Summit Medical Group, PLLC is 1295072304. It was assigned to this organization in the NPPES registry on January 9, 2013. The provider is doing business as Hometown Medical Clinic.

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

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

Active since January 09, 2013CLIA 44D0964564 · Waiver

167 WARREN ST, MADISONVILLE, TN 37354(423) 442-5480(423) 442-4416 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hometown Medical Clinic NPPES

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

HOMETOWN MEDICAL CLINIC (NPI 1295072304) is a healthcare organization registered as a family medicine in Madisonville, Tennessee and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Ed Curtis, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1295072304

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUMMIT MEDICAL GROUP, PLLC

Location Address167 WARREN STMadisonville, TN 37354-3001

Mailing Address1225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · (865) 584-4747 · Fax (865) 584-1363

Phone(423) 442-5480

Fax(423) 442-4416

Organization SubpartNo

Authorized OfficialEd CurtisChief Administrative Officer · (865) 584-4747

Enumeration DateJanuary 9, 2013

Last NPPES UpdateNovember 5, 2015

✔ NPI 1295072304 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.

167 WARREN ST, Madisonville, TN 37354

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Other Names 1

Doing Business AsHometown Medical Clinic

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 44D0964564

Hometown Medical Clinic · Madisonville, TN

Active · expires Aug 26, 2027

CLIA Number44D0964564

Laboratory TypePhysician Office

Certificate Effective DateAugust 27, 2025

Certificate Expiration DateAugust 26, 2027

Laboratory DirectorCherie Lynn Hansen

Laboratory Phone(423) 442-5480

Laboratory LocationHometown Medical Clinic167 Warren St, Madisonville, TN 37354

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 5

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

CHERIE L HANSEN D.O.

Family Medicine