| Medical Group Summit Inc | |
|
3901 Central Pike Suite 352 Hermitage TN 37076-3419 | |
| (615) 391-5567 | |
| (615) 391-5530 |
| Full Name | Medical Group Summit Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3901 Central Pike, Hermitage, Tennessee |
| Authorized Official Name and Position | Gary Duncan (PRESIDENT) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Summit Inc 3901 Central Pike Suite 352 Hermitage TN 37076-3419 Ph: (615) 882-4000 | Medical Group Summit Inc 3901 Central Pike Suite 352 Hermitage TN 37076-3419 Ph: (615) 391-5567 |
| NPI Number | 1821085259 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 06/21/2011 |
| Medicare PECOS PAC ID | 5799778189 |
|---|---|
| Medicare Enrollment ID | O20040402001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821085259 | NPI | - | NPPES |
| 3707047 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Amanda Jean Morehouse Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184887580 PECOS PAC ID: 0042344772 Enrollment ID: I20181010003284 |
| Provider Name | Amber Michelle Reams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790378859 PECOS PAC ID: 5799160511 Enrollment ID: I20220915000619 |
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