| Sumner Medical Group, Pllc | |
|
300 Steam Plant Rd Suite 300 Gallatin TN 37066-3032 | |
| (615) 230-8070 | |
| (615) 452-1774 |
| Full Name | Sumner Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Steam Plant Rd, Gallatin, Tennessee |
| Authorized Official Name and Position | Alton Sid King (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6152308070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumner Medical Group, Pllc 300 Steam Plant Rd Suite 300 Gallatin TN 37066-3032 Ph: (615) 230-8070 | Sumner Medical Group, Pllc 300 Steam Plant Rd Suite 300 Gallatin TN 37066-3032 Ph: (615) 230-8070 |
| NPI Number | 1871622779 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 02/02/2017 |
| Medicare PECOS PAC ID | 5193639680 |
|---|---|
| Medicare Enrollment ID | O20031118000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871622779 | NPI | - | NPPES |
| 3710658 | Medicaid | TN |
| Provider Name | Halden W Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871565465 PECOS PAC ID: 6507843315 Enrollment ID: I20040630000503 |
| Provider Name | Abdul S Enayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255372181 PECOS PAC ID: 5294708624 Enrollment ID: I20040819000782 |
| Provider Name | Hermogenes P Battad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508838400 PECOS PAC ID: 5799753794 Enrollment ID: I20040917000725 |
| Provider Name | Jeffrey D Hollis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043299464 PECOS PAC ID: 9739158098 Enrollment ID: I20041006000237 |
| Provider Name | William T Faith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235101809 PECOS PAC ID: 6406895945 Enrollment ID: I20050426000049 |
| Provider Name | David G Mazurek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871565457 PECOS PAC ID: 7618923061 Enrollment ID: I20050502001194 |
| Provider Name | Mark D Uhl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912979501 PECOS PAC ID: 3274577309 Enrollment ID: I20050620000136 |
| Provider Name | Jason B Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649212598 PECOS PAC ID: 5395777072 Enrollment ID: I20050901000727 |
| Provider Name | Donald O Ezuteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053453795 PECOS PAC ID: 0840224739 Enrollment ID: I20050920001242 |
| Provider Name | Frederick O Junard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288810 PECOS PAC ID: 7012934631 Enrollment ID: I20051101001234 |
| Provider Name | Alton S King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437121092 PECOS PAC ID: 1951215458 Enrollment ID: I20060224000158 |
| Provider Name | Leila August |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114916095 PECOS PAC ID: 3870502107 Enrollment ID: I20060414000078 |
| Provider Name | Kehinde A Carew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296959 PECOS PAC ID: 8921011966 Enrollment ID: I20060717000266 |
| Provider Name | Anthony Udokwu Efobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255300554 PECOS PAC ID: 3971564089 Enrollment ID: I20060927000277 |
| Provider Name | Haroon N Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730114315 PECOS PAC ID: 9931103173 Enrollment ID: I20061010000383 |
| Provider Name | Kerri R Suter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952416760 PECOS PAC ID: 1658378468 Enrollment ID: I20061108000344 |
| Provider Name | Alexander Olatunde Badru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942255575 PECOS PAC ID: 1153327747 Enrollment ID: I20061120000126 |
| Provider Name | Brian J Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174564314 PECOS PAC ID: 8527161462 Enrollment ID: I20070313000458 |
| Provider Name | Henry Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750444139 PECOS PAC ID: 0042319790 Enrollment ID: I20070621000417 |
| Provider Name | Rodney B Mewbourne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376751602 PECOS PAC ID: 0648363739 Enrollment ID: I20070905000737 |
| Provider Name | Kimberly Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366571523 PECOS PAC ID: 9436248119 Enrollment ID: I20071203000659 |
| Provider Name | Matthew S King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235215518 PECOS PAC ID: 1355431677 Enrollment ID: I20071226000151 |
| Provider Name | Anil Nachnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679558738 PECOS PAC ID: 1557332426 Enrollment ID: I20090605000259 |
| Provider Name | Stephen Victor Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083687305 PECOS PAC ID: 0941333520 Enrollment ID: I20100803000735 |
| Provider Name | Clayton Mann Macconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891767794 PECOS PAC ID: 1951597871 Enrollment ID: I20101118000059 |
| Provider Name | Robert E Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629040522 PECOS PAC ID: 4284820127 Enrollment ID: I20101118000260 |
| Provider Name | Jagdish S Nachnani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891726303 PECOS PAC ID: 2163609355 Enrollment ID: I20110616000229 |
| Provider Name | Catherine Mollie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942599147 PECOS PAC ID: 9234307281 Enrollment ID: I20110719000569 |
| Provider Name | Deepti Bulchandani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144259631 PECOS PAC ID: 2769653096 Enrollment ID: I20110919000309 |
| Provider Name | Quinn S Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619004066 PECOS PAC ID: 7012079528 Enrollment ID: I20111025000482 |
| Provider Name | Evan L Brittain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104020684 PECOS PAC ID: 8820262496 Enrollment ID: I20111116000433 |
| Provider Name | Natalie Spradlin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437206323 PECOS PAC ID: 0749358315 Enrollment ID: I20111116000752 |
| Provider Name | Selorm A Adzokpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508002015 PECOS PAC ID: 4183880214 Enrollment ID: I20120718000296 |
| Provider Name | Megan E Mason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184887655 PECOS PAC ID: 4284758129 Enrollment ID: I20120730000355 |
| Provider Name | Ayuk Eric Tabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851692404 PECOS PAC ID: 3375790272 Enrollment ID: I20120829000027 |
| Provider Name | Philip Edward Lammers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780802330 PECOS PAC ID: 0244475192 Enrollment ID: I20130325000062 |
| Provider Name | Sharon R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356308779 PECOS PAC ID: 5294863361 Enrollment ID: I20130603000646 |
| Provider Name | Bradley S Rust |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104890003 PECOS PAC ID: 2769664044 Enrollment ID: I20130724000840 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20130805000205 |
| Provider Name | Jarrod Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063739480 PECOS PAC ID: 2860621190 Enrollment ID: I20140210000155 |
| Provider Name | Travis R Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922394840 PECOS PAC ID: 7416188131 Enrollment ID: I20141028001884 |
| Provider Name | Wendy M Mell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962668210 PECOS PAC ID: 0547589434 Enrollment ID: I20150427000904 |
| Provider Name | Dana A Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801195862 PECOS PAC ID: 6709060718 Enrollment ID: I20150603001873 |
| Provider Name | Mary B Mungle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711638 PECOS PAC ID: 3375854375 Enrollment ID: I20150617001723 |
| Provider Name | Emily G Kocurek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427374263 PECOS PAC ID: 5395985311 Enrollment ID: I20150714001625 |
| Provider Name | Daniel Townsend Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659699171 PECOS PAC ID: 9234442203 Enrollment ID: I20150720002488 |
| Provider Name | Kevin T Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410129 PECOS PAC ID: 0244463990 Enrollment ID: I20150721001921 |
| Provider Name | Lori Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922415512 PECOS PAC ID: 9739493255 Enrollment ID: I20150728005690 |
| Provider Name | Mengistu Berie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992064935 PECOS PAC ID: 2062728363 Enrollment ID: I20150901002753 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20150924000991 |
| Provider Name | Gretchen N Morris White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003202292 PECOS PAC ID: 0941518245 Enrollment ID: I20151007000486 |
| Provider Name | Laura M Maben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496252 PECOS PAC ID: 6002117959 Enrollment ID: I20151217001621 |
| Provider Name | Andrew C. Mckown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942594973 PECOS PAC ID: 3375703200 Enrollment ID: I20160119001129 |
| Provider Name | Sonya Alethea Moneque Reid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457795239 PECOS PAC ID: 6103104542 Enrollment ID: I20161104001987 |
| Provider Name | Vern Eric Kerchberger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255697397 PECOS PAC ID: 4284936410 Enrollment ID: I20161213002719 |
| Provider Name | Amanda L Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720493927 PECOS PAC ID: 2961773411 Enrollment ID: I20170802002094 |
| Provider Name | Lynsey M Rothenburger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489679 PECOS PAC ID: 0143549394 Enrollment ID: I20171201001750 |
| Provider Name | Eden A Biltibo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104244458 PECOS PAC ID: 4789941378 Enrollment ID: I20171207000648 |
Fairvue Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1483 Nashville Pike, Suite 302, Gallatin, TN 37066 Phone: 615-451-5110 Fax: 615-451-5193 | |
Mid State Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Hunt Club Blvd, Suite 600, Gallatin, TN 37066 Phone: 615-230-9095 | |
Hendersonville Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1531 Hunt Club Blvd Ste 320, Gallatin, TN 37066 Phone: 281-429-8526 | |
Gallatin Family Practice Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Commons Dr, Suite A, Gallatin, TN 37066 Phone: 615-452-5901 Fax: 615-451-2006 | |
Gallatin Medical Partners, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Hancock Street, Ste 406, Gallatin, TN 37066 Phone: 615-452-5943 Fax: 615-695-1200 | |
Progressive Care Medical Group Of Tn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 438 N Water Ave, Gallatin, TN 37066 Phone: 615-452-2322 | |
New River Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Hancock St, Suite 203, Gallatin, TN 37066 Phone: 615-230-3045 Fax: 615-230-3047 |