OrganizationActive
Summit Medical Group PLLC
NPI 1235937764 · Pediatrics Physician · Sevierville, TN
Provider details
- NPI number
- 1235937764
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Summit Medical Group PLLC
- Organization subpart
- Yes
- Authorized official
- Sandra Bowles, Provider Enrollment Coordinator(865) 584-4747
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 Middle Creek Rd
Sevierville, TN 37862-5014
Phone: (865) 453-9980
Street-level locationGet directions
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Other names (DBA / former)
- Doing business as
- Hometown Pediatric Sevierville
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.