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SUMMIT MEDICAL GROUP,PLLC
NPI 1891418232
Internal Medicine in Etowah, TN

Active since September 21, 2022
301 GRADY RD, ETOWAH, TN 37331(423) 263-1743(423) 263-7723 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Medical Group,pllc NPPES

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

SUMMIT MEDICAL GROUP,PLLC (NPI 1891418232), doing business as Ima Etowah, is a healthcare organization registered as an internal medicine in Etowah, Tennessee and active in the NPI registry since September 2022. The organization lists Zandra M Mills, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1891418232
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT MEDICAL GROUP,PLLC
Location Address301 GRADY RDEtowah, TN 37331-1924
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 500-2144 · Fax (865) 584-1363
Phone(423) 263-1743
Fax(423) 263-7723
Organization SubpartYes
Authorized OfficialZandra M MillsCredentialing Manager · (865) 500-2144
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1891418232 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.
301 GRADY RD, Etowah, TN 37331
Open in Google Maps ↗

Other Names 1

Doing Business AsIma Etowah

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Medical Group,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,001

Medicare enrollment records show 1,001 clinicians reassign Medicare billing to Summit Medical Group,pllc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner393
Internal Medicine186
Family Practice156
Diagnostic Radiology102
Registered Dietitian or Nutrition Professional39
Physical Therapist in Private Practice26
Pulmonary Disease23
Pediatric Medicine14
20 other specialties62

Nearest to this location (20)

See all 1,001
Russell Watters, MD
Internal Medicine
NPI 1003872201
301 GRADY RD
Etowah, TN 37331
(423) 263-2444
✔ PECOSSame address
Ghazali Khan, MD
Internal Medicine
NPI 1437116720
301 GRADY ROAD
Etowah, TN 37331
(423) 263-2444
✔ PECOSSame address
Samuel Olsen, MD
Internal Medicine
NPI 1760448591
301 GRADY RD
Etowah, TN 37331
(423) 263-2444
✔ PECOS✔ Accepts MedicareSame address
Joel Riley, MD
Internal Medicine
NPI 1659338044
301 GRADY RD
Etowah, TN 37331
(423) 263-2444
✔ PECOS✔ Accepts MedicareSame address
Nathan Trentham, MD
Internal Medicine
NPI 1134185358
301 GRADY ROAD
Etowah, TN 37331
(423) 263-2444
✔ PECOS✔ Accepts Medicare0.1 mi
Alicia Fulbright, FNP-C
Nurse Practitioner
NPI 1902417728
305 GRADY RD STE B
Etowah, TN 37331
(423) 263-0722
✔ PECOS✔ Accepts Medicare0.1 mi
Wallace Burroughs, M.D.
Family Practice
NPI 1952306029
1031 W MADISON AVE
Athens, TN 37303
(423) 745-6575
8.0 mi
Julie Haney
Nurse Practitioner
NPI 1679996805
1031 W MADISON AVE
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Kathryn Hawks, DO
Family Practice
NPI 1336727270
1031 W. MADISON AVE
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Taylor Hellin, DNP, FNP-BC
Nurse Practitioner
NPI 1407557747
1031 W MADISON AVE STE 1
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Christopher Maynard, M.D.
Internal Medicine
NPI 1750386819
1031 W MADISON AVE
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Jennifer Ronne
Nurse Practitioner
NPI 1851845770
1031 W MADISON AVE
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Charles Sharpe, M.D.
Internal Medicine
NPI 1578568648
1031 W MADISON AVE
Athens, TN 37303
(423) 745-6575
✔ PECOS✔ Accepts Medicare8.0 mi
Martha Jean Pascarella, NP
Nurse Practitioner
NPI 1174549638
719 COOK DR SUITE 102
Athens, TN 37303
(423) 745-1277
✔ PECOS✔ Accepts Medicare8.1 mi
Cherie Hansen, D.O.
Family Practice
NPI 1134173271
167 WARREN ST
Madisonville, TN 37354
(423) 442-5480
✔ PECOS✔ Accepts Medicare15 mi
Hasmukh Kanabar, M.D.
Family Practice
NPI 1982764593
167 WARREN ST
Madisonville, TN 37354
(423) 442-5480
✔ PECOS15 mi
Dennis Thompson, D.O.
Internal Medicine
NPI 1326151655
2700 WESTSIDE DR NW SUITE 103
Cleveland, TN 37312
(423) 472-1511
✔ PECOS✔ Accepts Medicare22 mi
Ashley Condo, RN, FNP
Nurse Practitioner
NPI 1366682924
2305 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 559-6000
✔ PECOS✔ Accepts Medicare23 mi
Gina Pulido-Soriano, MD
Internal Medicine
NPI 1184660094
2305 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 559-6583
✔ PECOS✔ Accepts Medicare23 mi
Jasmine Fromm, RDN
Registered Dietitian or Nutrition Professional
NPI 1699599175
1725 BROWN AVE NW
Cleveland, TN 37311
(423) 715-7448
✔ Accepts Medicare23 mi
See all 1,001 clinicians

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

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 Summit Medical Group,pllc's NPI number?

The NPI number for Summit Medical Group,pllc is 1891418232. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is doing business as IMA Etowah.

Where is Summit Medical Group,pllc located?

Summit Medical Group,pllc is located at 301 Grady Rd, Etowah, TN 37331. The listed phone number is (423) 263-1743.

What is Summit Medical Group,pllc's specialty?

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

Is Summit Medical Group,pllc enrolled in Medicare?

Yes. Summit Medical Group,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Medical Group,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,001 clinicians in 28 Medicare specialties reassign their Medicare billing to Summit Medical Group,pllc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (393), Internal Medicine (186) and Family Practice (156). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Summit Medical Group,pllc was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.