# SUMMIT MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT MEDICAL GROUP PLLC
- **Other names:** Summit Medical Group at Pistol Creek
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508742495
- **Legal business name:** SUMMIT MEDICAL GROUP PLLC
- **Authorized official:** JENNIFER RANEY (PROVIDER ENROLLMENT SUPERVISOR)
- **Authorized official phone:** (865) 584-4747

## Contact information

- **Practice address:** 418 MARILYN LN, ALCOA, TN 37701-2118
- **Practice address phone:** (865) 984-6203
- **Practice address fax:** (844) 689-0752
- **Mailing address:** 1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
- **Mailing address phone:** (865) 584-4747
- **Mailing address fax:** (865) 381-1509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 08/14/2025