SUMMIT MEDICAL ASSOCIATES PC
NPI 1518993013
Internal Medicine in Hermitage, TN
NPI Status: Active since June 25, 2006
Contact Information
5653 FRIST BLVD
SUITE 630
HERMITAGE, TN
ZIP 37076
Phone: (615) 391-3971
Fax: (615) 391-3867
- Organization
- Internal Medicine
- CLIA Number: 44D0719163
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 06-13-2025
About SUMMIT MEDICAL ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Summit Medical Associates Pc, an internist established in Hermitage, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1518993013 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Summit Medical Associates Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. William E Baucom Iii Md (President)
- NPI
- 1518993013
- Provider Name
- SUMMIT MEDICAL ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 5653 FRIST BLVD SUITE 630 HERMITAGE, TN 37076
- Location Phone
- (615) 391-3971
- Location Fax
- (615) 391-3867
- Mailing Address
- 5653 FRIST BLVD SUITE 630 HERMITAGE, TN 37076
- Mailing Phone
- (615) 391-3971
- Mailing Fax
- (615) 391-3867
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 10-28-2011
- Code Navigator
An internist like Summit Medical Associates Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-01-2014 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
CA1799 | OTHER (01) | TN | R/R MEDICARE |
========= | OTHER (01) | TN | TAX ID |
201049 | OTHER (01) | TN | BCBS |
3706230 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | |
3706239 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- SUMMIT MEDICAL ASSOCIATES PC has an ownership type of For profit
- The facility received it's medicare certification date on 01-01-2014
Medical Condition | Times Conditions Treated |
---|---|
All other conditions | 110 |
Brain disease or condition (non-traumatic) | 44 |
Brain injury (traumatic) | 14 |
Hip or femur fracture | 49 |
Hip or knee replacement, amputation or other bone or joint condition | 35 |
Nervous system disorder (excluding stroke) | 16 |
Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
Stroke | 88 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0719163
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- June 14, 2023
- Certificate Expiration Date
- June 13, 2025
- Laboratory Director
- DR. ANAND POPURI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Summit Medical Associates Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 1 | 8 | 9 | 9 | 3 | 0 | 1 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 2 | 8 | 18 | 9 | 6 | 0 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 2 + 8 + 1 + 8 + 9 + 6 + 0 + 2 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1518993013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CATHY A DEPPEN M.D.
Obstetrics & Gynecology
5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076
RHONDA T HALCOMB M.D.
Obstetrics & Gynecology
5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076
LISA M JABUSCH M.D.
Obstetrics & Gynecology
5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076
CAROL HOPE MCCULLOUGH M.D.
Obstetrics & Gynecology
5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076
DR. DONALD J. LAZAS JR. MD
Specialist
5653 FRIST BLVD
SUITE 530
HERMITAGE, TN
ZIP 37076
DR. SUE J LEE MD
Specialist
5653 FRIST BLVD
SUITE 530
HERMITAGE, TN
ZIP 37076
DR. STEPHEN L TENCH PH.D.
Psychologist
5653 FRIST BLVD
SUITE 331
HERMITAGE, TN
ZIP 37076
DR. ALEXANDER J CHALKO M.D.
Psychiatry & Neurology
(Psychiatry)
5653 FRIST BLVD
SUITE 331
HERMITAGE, TN
ZIP 37076
SUMMIT BONE & JOINT, PLLC
Orthopaedic Surgery
5653 FRIST BLVD
SUITE 731
HERMITAGE, TN
ZIP 37076
MR. CHILANGO MULAISHO MD
Specialist
5653 FRIST BLVD
HERMITAGE, TN
ZIP 37076
DR. KENT R. MURPHY M.D.
Otolaryngology
5653 FRIST BLVD
SUITE 231
HERMITAGE, TN
ZIP 37076
JOSE CHUCLK PRADA BSPT
Physical Therapist
5653 FRIST BLVD
731
HERMITAGE, TN
ZIP 37076
DR. BEN J BIRDWELL M.D.
Internal Medicine
5653 FRIST BLVD
SUITE 630
HERMITAGE, TN
ZIP 37076
DR. DEBORAH G MONTGOMERY M.D.
Internal Medicine
5653 FRIST BLVD
SUITE 630
HERMITAGE, TN
ZIP 37076
LAURA JOHNETTA BLAKELY MD
Internal Medicine
(Hematology & Oncology)
5653 FRIST BLVD
SUITE 434
HERMITAGE, TN
ZIP 37076
MICHAEL B HEMPHILL MD
Internal Medicine
(Hematology & Oncology)
5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076
AMY H JOHNSON PHD
Psychologist
(Clinical)
5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076
SARA L PERRY NP
Nurse Practitioner
5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076
NAVEEN SRINIVAS M.D.
Obstetrics & Gynecology
5653 FRIST BLVD
SUITE # 237
HERMITAGE, TN
ZIP 37076
MRS. JULIE B TOMLINSON CERTIFIED FAMILY NUR
Nurse Practitioner
5653 FRIST BLVD
STE 236
HERMITAGE, TN
ZIP 37076
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518993013, enumerated as an "organization" on June 25, 2006.
The provider is located at 5653 FRIST BLVD SUITE 630 HERMITAGE, TN 37076 and the phone number is (615) 391-3971.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.