Healthcare Provider Details

I. General information

NPI: 1346021482
Provider Name (Legal Business Name): SUMMIT MEDICAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MCLAWS CIR STE 3
WILLIAMSBURG VA
23185-6346
US

IV. Provider business mailing address

354 MCLAWS CIR STE 3
WILLIAMSBURG VA
23185-6346
US

V. Phone/Fax

Practice location:
  • Phone: 757-385-3010
  • Fax:
Mailing address:
  • Phone: 757-585-3030
  • Fax: 757-733-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHANTZ BURY
Title or Position: OWNER
Credential: DNP
Phone: 757-585-3030