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

Mallory Irwin Trevino, MD

Individual provider Family Medicine Physician · NPI 1043508625

Mallory Irwin Trevino, MD is a Family Practice in Knoxville, Tennessee. Graduated from Tulane University School of Medicine in 2011, 15 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
15
Trained at
Tulane University School of Medicine
Licensed in
TN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7211 Wellington Dr Ste 201
Knoxville, TN 37919-5968
Phone: (865) 584-5762
Fax: (865) 584-3403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 49522 (TN)

Record details

NPI number1043508625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2011
Last updated in NPPESApril 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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