Summit Medical Group PLLC
NPI 1225835754ActiveOrganization· Pediatrics· Jefferson City, TN
Pediatrics in Jefferson City, Tennessee, registered in NPPES in March 2025, part of Summit Medical Group PLLC. The authorized official on file is Sandra Dee Bowles, Provider Enrollment Coordinator.
Overview
| NPI | 1225835754 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Medical Group PLLC |
| NPI issued | Mar 3, 2025 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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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