SEWANEE FAMILY PRACTICE PLLC
NPI 1063817625
Family Medicine in Sewanee, TN

Active since October 24, 2014CLIA 44D0309714 · Waiver
1314 UNIVERSITY AVE, SEWANEE, TN 37375(931) 598-5648(931) 598-0778 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1063817625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSEWANEE FAMILY PRACTICE PLLC
Location Address1314 UNIVERSITY AVESewanee, TN 37375-2336
Mailing AddressPo Box 700Sewanee, TN 37375-0700 · (931) 598-5648 · Fax (931) 598-0778
Fax(931) 598-0778
Organization SubpartNo
Authorized OfficialLouis E KoellaPresiedent · (931) 598-5648
Enumeration DateOctober 24, 2014
NPI 1063817625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 34975 Licensed in TN · 713 Licensed in TN · 1376
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1314 UNIVERSITY AVE, Sewanee, TN 37375

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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, TN
Active · expires Apr 1, 2028
CLIA Number44D0309714
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorDr. David C. Martin
Laboratory Phone(931) 598-5648
Laboratory LocationSewanee Family Practice PLLC Dba Sewanee Family Practice1314 University Avenue, Sewanee, TN 37375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1314 UNIVERSITY AVE
SEWANEE, TN 37375
Physician Assistant
1314 UNIVERSITY AVE
SEWANEE, TN 37375
Family Medicine
1314 UNIVERSITY AVE
SEWANEE, TN 37375
Family Medicine
1314 UNIVERSITY AVE
SEWANEE, TN 37375

Frequently 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.

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 with the weekly NPPES data releases published by CMS.