Organization · Type 2 NPI

Summit Medical Group PLLC

Pediatrics Physician · Jefferson City, TN

NPI number 1225835754 Active

Practice location

123 Mossy Creek Drive
Jefferson City, TN 37760-2410

Call (865) 475-5377 Map

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

NPI record

NPI: 1225835754
Entity type: Organization (Type 2)
Issued: Mar 3, 2025
Last updated: Mar 27, 2025
Status: Active
Subpart: Yes of Summit Medical Group PLLC

Other names

<unavail>
Hometown Pediatric Jefferson City · doing business as
Hometown Pediatric Jefferson City · doing business as

Authorized official

Sandra Dee Bowles
Provider Enrollment Coordinator
(865) 584-4747

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1225835754

Summit Medical Group PLLC's National Provider Identifier is 1225835754, issued on Mar 3, 2025. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Jefferson City, TN. The record was last updated on Mar 27, 2025.