Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Organization
SUMMIT MEDICAL GROUP, PLLC
Active
Parent organization
SUMMIT MEDICAL GROUP PLLC
Other names
Hermitage Primary Care, a division of Summit Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PLLC
Authorized official
SANDRA DEE BOWLES (PROVIDER ENROLLMENT COORDINATOR)
(865) 584-4747
Entity
Organization
Contact information
Practice address
5653 FRIST BLVD STE 236, HERMITAGE, TN 37076-2063
(615) 232-8812
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
03/02/2026
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