Summit Medical Group, PLLC
NPI 1053163899ActiveOrganization· Ophthalmology, Retina Specialist· Knoxville, TN
Ophthalmology, Retina Specialist in Knoxville, Tennessee, registered in NPPES in April 2024, part of Summit Medical Group, PLLC. The authorized official on file is Jennifer Raney, Provider Enrollment Supervisor.
Overview
| NPI | 1053163899 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Medical Group, PLLC |
| NPI issued | Apr 4, 2024 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Apr 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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