# SUMMIT MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT MEDICAL GROUP, PLLC
- **Other names:** Sewell Family Practice, a division of Summit Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538079033
- **Legal business name:** SUMMIT MEDICAL GROUP, PLLC
- **Authorized official:** JENNIFER RANEY (PROVIDER ENROLLMENT SUPERVISOR)
- **Authorized official phone:** (865) 584-4747

## Contact information

- **Practice address:** 341 CENTRAL AVE W, JAMESTOWN, TN 38556-3515
- **Practice address phone:** (931) 879-9892
- **Practice address fax:** (833) 455-8834
- **Mailing address:** 341 CENTRAL AVE W, JAMESTOWN, TN 38556-3515
- **Mailing address phone:** (931) 879-9892
- **Mailing address fax:** (833) 455-8834

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/09/2026