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

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  • 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)
1207Q00000XAllopathic & 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM E BAUCOM III MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 391-3971

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
CA1799OTHER (01)TNR/R MEDICARE
=========OTHER (01)TNTAX ID
201049OTHER (01)TNBCBS
3706230MEDICARE ID-TYPE UNSPECIFIED (04)TN 
3706239MEDICARE 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
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions110
Brain disease or condition (non-traumatic)44
Brain injury (traumatic)14
Hip or femur fracture49
Hip or knee replacement, amputation or other bone or joint condition35
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.
Stroke88

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.

Reviews for SUMMIT MEDICAL ASSOCIATES PC

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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.
1518993013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528189602
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 = 33

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

(615) 874-8006

RHONDA T HALCOMB M.D.

Obstetrics & Gynecology

5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076

(615) 874-8006

LISA M JABUSCH M.D.

Obstetrics & Gynecology

5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076

(615) 874-8006

CAROL HOPE MCCULLOUGH M.D.

Obstetrics & Gynecology

5653 FRIST BLVD
STE 738
HERMITAGE, TN
ZIP 37076

(615) 874-8006

DR. DONALD J. LAZAS JR. MD

Specialist

5653 FRIST BLVD
SUITE 530
HERMITAGE, TN
ZIP 37076

(615) 885-1093

DR. SUE J LEE MD

Specialist

5653 FRIST BLVD
SUITE 530
HERMITAGE, TN
ZIP 37076

(615) 885-1093

DR. STEPHEN L TENCH PH.D.

Psychologist

5653 FRIST BLVD
SUITE 331
HERMITAGE, TN
ZIP 37076

(615) 889-4447

DR. ALEXANDER J CHALKO M.D.

Psychiatry & Neurology

(Psychiatry)

5653 FRIST BLVD
SUITE 331
HERMITAGE, TN
ZIP 37076

(615) 889-4447

SUMMIT BONE & JOINT, PLLC

Orthopaedic Surgery

5653 FRIST BLVD
SUITE 731
HERMITAGE, TN
ZIP 37076

(615) 232-3838

MR. CHILANGO MULAISHO MD

Specialist

5653 FRIST BLVD
HERMITAGE, TN
ZIP 37076

(615) 467-0206

DR. KENT R. MURPHY M.D.

Otolaryngology

5653 FRIST BLVD
SUITE 231
HERMITAGE, TN
ZIP 37076

(615) 872-0922

JOSE CHUCLK PRADA BSPT

Physical Therapist

5653 FRIST BLVD
731
HERMITAGE, TN
ZIP 37076

(615) 885-9591

DR. BEN J BIRDWELL M.D.

Internal Medicine

5653 FRIST BLVD
SUITE 630
HERMITAGE, TN
ZIP 37076

(615) 391-3971

DR. DEBORAH G MONTGOMERY M.D.

Internal Medicine

5653 FRIST BLVD
SUITE 630
HERMITAGE, TN
ZIP 37076

(615) 391-3971

LAURA JOHNETTA BLAKELY MD

Internal Medicine

(Hematology & Oncology)

5653 FRIST BLVD
SUITE 434
HERMITAGE, TN
ZIP 37076

(615) 871-9996

MICHAEL B HEMPHILL MD

Internal Medicine

(Hematology & Oncology)

5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076

(615) 871-9996

AMY H JOHNSON PHD

Psychologist

(Clinical)

5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076

(615) 871-9996

SARA L PERRY NP

Nurse Practitioner

5653 FRIST BLVD
STE 434
HERMITAGE, TN
ZIP 37076

(615) 871-9996

NAVEEN SRINIVAS M.D.

Obstetrics & Gynecology

5653 FRIST BLVD
SUITE # 237
HERMITAGE, TN
ZIP 37076

(615) 883-5050

MRS. JULIE B TOMLINSON CERTIFIED FAMILY NUR

Nurse Practitioner

5653 FRIST BLVD
STE 236
HERMITAGE, TN
ZIP 37076

(615) 871-0555

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.