DR. SUMMYJI GROOM DNP, RN, PMHNP-BC
NPI 1508427170
Nurse Practitioner - Psychiatric/Mental Health in Birmingham, AL

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment
1430 GADSDEN HWY STE 116-618, BIRMINGHAM, AL 35235(256) 467-7279(801) 683-1907 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2025, May 19, 2021, Jul 22, 2019 (3 updates tracked since 2019).

About Dr. Summyji Groom Dnp, Rn, Pmhnp-bc NPPES

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

DR. SUMMYJI GROOM DNP, RN, PMHNP-BC (NPI 1508427170) is an individual psychiatric/mental health provider in Birmingham, Alabama, licensed in Alabama (1-131786) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508427170
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. SUMMYJI GROOMCredential: DNP, RN, PMHNP-BC
Location Address1430 GADSDEN HWY STE 116-618Birmingham, AL 35235-3103
Mailing Address1430 Gadsden Hwy Ste 116-618Birmingham, AL 35235-3103 · (256) 467-7279 · Fax (801) 683-1907
Fax(801) 683-1907
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 25, 2019
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1508427170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AL · 1-131786✔ Licensed in CO · C-APN.0002375-C-NP
1430 GADSDEN HWY STE 116-618, Birmingham, AL 35235

Secondary Practice Location 1

Location 11312 17th St Ste 758Denver, CO 80202-1508 · Phone (205) 775-0080

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

Dr. Summyji Groom Dnp, Rn, Pmhnp-bc 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 ID7618206087
PECOS Enrollment IDI20260407000176
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 Reassignment

Medicare enrollment records show Summyji Groom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Kentucky, Minnesota, New Mexico, New York, Vermont and Wyoming enrollments
  • 504 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1430 GADSDEN HWY STE 116-618
BIRMINGHAM, AL 35235

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 Summyji Groom's NPI number?

The NPI number for Summyji Groom is 1508427170. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Summyji Groom located?

Summyji Groom practices at 1430 Gadsden Hwy Ste 116-618, Birmingham, AL 35235. The listed phone number is (256) 467-7279.

What is Summyji Groom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Summyji Groom enrolled in Medicare?

Yes. Summyji Groom 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 organization bills Medicare for Summyji Groom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summyji Groom reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Summyji Groom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summyji Groom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Summyji Groom 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 Summyji Groom was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.