SUMMIT MEDICAL GROUP,PLLC
NPI 1588362164
Internal Medicine in Cookeville, TN

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

The NPI number for Summit Medical Group,pllc is 1588362164. It was assigned to this organization in the NPPES registry on February 22, 2023. The provider is doing business as Summit Medical Group of Cookeville.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 22, 2023CLIA 44D2105973 · Microscopy

128 N WHITNEY AVE, COOKEVILLE, TN 38501(931) 783-4600(931) 783-4699 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Summit Medical Group,pllc NPPES

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

SUMMIT MEDICAL GROUP,PLLC (NPI 1588362164), doing business as Summit Medical Group Of Cookeville, is a healthcare organization registered as an internal medicine in Cookeville, Tennessee and active in the NPI registry since February 2023. The organization holds a CLIA Microscopy certificate valid through December 7, 2027 and lists Zandra M Mills, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1588362164

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSUMMIT MEDICAL GROUP,PLLC

Location Address128 N WHITNEY AVECookeville, TN 38501-2493

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 584-1363

Phone(931) 783-4600

Fax(931) 783-4699

Organization SubpartYes

Authorized OfficialZandra M MillsCredentialing Manager · (865) 500-2144

Enumeration DateFebruary 22, 2023

NPPES CertifiedFebruary 22, 2023

✔ NPI 1588362164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

128 N WHITNEY AVE, Cookeville, TN 38501

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Other Names 1

Doing Business AsSummit Medical Group Of Cookeville

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2105973

Summit Medical Group Of Cookeville Dba Medical Practice · Cookeville, TN

Active · expires Dec 7, 2027

CLIA Number44D2105973

Laboratory TypePhysician Office

Certificate Effective DateDecember 8, 2025

Certificate Expiration DateDecember 7, 2027

Laboratory DirectorDr. Lora P. Worsham

Laboratory Phone(931) 783-4600

Laboratory LocationSummit Medical Group Of Cookeville Dba Medical Practice128 North Whitney Avenue, Cookeville, TN 38501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

JESSICA LUANNE RANDOLPH FNP-BC

Nurse Practitioner (Family)