SEWANEE FAMILY PRACTICE PLLC
NPI 1063817625
Family Medicine in Sewanee, TN
About Sewanee Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEWANEE FAMILY PRACTICE PLLC (NPI 1063817625) is a healthcare organization registered as a family medicine in Sewanee, Tennessee and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Louis E Koella, Presiedent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sewanee Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sewanee Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D0309714
Sewanee Family Practice PLLC Dba Sewanee Family Practice · Sewanee, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sewanee Family Practice PLLC's NPI number?
The NPI number for Sewanee Family Practice PLLC is 1063817625. It was assigned to this organization in the NPPES registry on October 24, 2014.
Where is Sewanee Family Practice PLLC located?
Sewanee Family Practice PLLC is located at 1314 University Ave, Sewanee, TN 37375. The listed phone number is (931) 598-5648.
What is Sewanee Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sewanee Family Practice PLLC enrolled in Medicare?
Yes. Sewanee Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sewanee Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sewanee Family Practice PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sewanee Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0309714) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sewanee Family Practice PLLC accept?
Health plans from Alliant Health Plans, Inc. list Sewanee Family Practice PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sewanee Family Practice PLLC was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sewanee Family Practice Pllc · NPI 1063817625
Family Medicine organization in Sewanee, Tennessee. Organization record, active in the CMS NPPES registry since October 24, 2014.
## Identity
- **NPI:** 1063817625 (Entity type: Organization)
- **Enumerated:** October 24, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Louis Koella, PRESIEDENT
## Practice location
- **Address:** 1314 UNIVERSITY AVE, Sewanee, TN 37375-2336
- **Phone:** (931) 598-5648 · **Fax:** (931) 598-0778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063817625) · Data from the CMS NPPES public registry.