MR. ADAM LEE SUMMERLIN M.D.
NPI 1366686503
Radiology - Diagnostic Radiology in Jackson, TN

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
620 SKYLINE DR, JACKSON, TN 38301(731) 541-6174(731) 541-8008 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Adam Lee Summerlin M.d. NPPES

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

MR. ADAM LEE SUMMERLIN M.D. (NPI 1366686503) is an individual diagnostic radiology provider in Jackson, Tennessee, licensed in Tennessee (52582) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1366686503
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. ADAM LEE SUMMERLINCredential: M.D.
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing AddressPo Box 11955Jackson, TN 38308-0132 · (888) 630-0845
Fax(731) 541-8008
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateApril 30, 2009
Last NPPES UpdateApril 28, 2017
✔ NPI 1366686503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TN · 52582
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
620 SKYLINE DR, Jackson, TN 38301

Other Identifiers 2

MedicaidQ014176TN
Medicare PIN103I309567TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Adam Lee Summerlin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395960959
PECOS Enrollment IDI20150826001733
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Adam Summerlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 22 clinicians in this Medicare group
Diagnostic Radiology
31 SANDSTONE CIR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 35 clinicians in this Medicare group
Internal Medicine
2863 HIGHWAY 45 BYP
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 183 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 57

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,139 services1,137 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
941 services941 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
899 services899 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
830 services828 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
407 services362 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
169 services163 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

West Tennessee Healthcare Camden Hospital

Critical Access Hospitals · Camden, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441316
Location175 Hospital DriveCamden, TN 38320 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Improvement Activities40
Cost51.86

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301

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 Adam Summerlin's NPI number?

The NPI number for Adam Summerlin is 1366686503. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Adam Summerlin located?

Adam Summerlin practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-6174.

What is Adam Summerlin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Adam Summerlin enrolled in Medicare?

Yes. Adam Summerlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adam Summerlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Summerlin reassigns Medicare benefits to 3 organizations: Jackson Madison County General Hospital (Jackson, TN), Jackson Radiology Associates PA (Jackson, TN) and Jackson Clinic PA (Jackson, TN). Each 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 Adam Summerlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Summerlin accept?

Health plans from Cigna Healthcare list Adam Summerlin 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.

Is Adam Summerlin affiliated with any hospitals?

According to CMS data, Adam Summerlin is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital, Volunteer Community Hospital, Dyersburg Regional Medical Center and West Tennessee Healthcare Camden Hospital.

When was this NPI record last updated?

The NPPES record for Adam Summerlin was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.