Summit Medical Group, Pllc

NPI #1013866615 in Knoxville, Tennessee

Provider Information

NPI Number: 1013866615
Entity Type: Organization
Organization Name: Summit Medical Group, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SUMMIT MEDICAL GROUP, PLLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 26, 2026
Last Updated: Jan 26, 2026

Practice Location

Address: 6515 NIGHTINGALE LN
City: Knoxville
State: Tennessee
ZIP Code: 37909-2753
Phone: (865) 588-3525

Authorized Official

Name: SANDRA DEE BOWLES
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (865) 584-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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