Organization · Type 2 NPI

Summit Medical Group PLLC

Family Medicine Physician · Alcoa, TN

NPI number 1508742495 Active

Practice location

418 Marilyn Ln
Alcoa, TN 37701-2118

Call (865) 984-6203 Map

Fax (844) 689-0752

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Alcoa

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NPI record

NPI: 1508742495
Entity type: Organization (Type 2)
Issued: Aug 14, 2025
Last updated: Aug 14, 2025
Status: Active
Subpart: Yes of Summit Medical Group PLLC

Other names

Summit Medical Group at Pistol Creek · doing business as

Authorized official

Jennifer Raney
Provider Enrollment Supervisor
(865) 584-4747

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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.

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About NPI 1508742495

Summit Medical Group PLLC's National Provider Identifier is 1508742495, issued on Aug 14, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Alcoa, TN. The record was last updated on Aug 14, 2025.