Healthcare Provider Details

I. General information

NPI: 1053480004
Provider Name (Legal Business Name): SUMMIT MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8975 EXECUTIVE PARK DR SUITE 200
KNOXVILLE TN
37923
US

IV. Provider business mailing address

1275 DICK LONAS RD UNIT 101
KNOXVILLE TN
37909-1383
US

V. Phone/Fax

Practice location:
  • Phone: 865-691-4100
  • Fax: 865-691-6178
Mailing address:
  • Phone: 865-584-4747
  • Fax: 865-584-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ED CURTIS
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 865-584-4747