Summit Medical Group PLLC
NPI 1508742495ActiveOrganization· Family Medicine· Alcoa, TN
Family Medicine in Alcoa, Tennessee, registered in NPPES in August 2025, part of Summit Medical Group PLLC. The authorized official on file is Jennifer Raney, Provider Enrollment Supervisor.
Overview
| NPI | 1508742495 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Medical Group PLLC |
| NPI issued | Aug 14, 2025 |
| Last updated in NPPES | Aug 14, 2025 |
| Certified by provider | Aug 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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