Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Medical Group PLLC

Organization Pediatrics Physician · NPI 1225835754

Summit Medical Group PLLC is a Pediatrics Physician in Jefferson City, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 Mossy Creek Dr
Jefferson City, TN 37760-2410
Phone: (865) 475-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1225835754
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSummit Medical Group PLLC
Authorized official Sandra Bowles — Provider Enrollment Coordinator · (865) 584-4747
Other names Hometown Pediatric Jefferson City; Hometown Pediatric Jefferson City
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 25, 2025
Mailing address1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

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