RESTORATION PRIMARY CARE PLLC
NPI 1609691385
Family Medicine in Winchester, TN

Active since November 18, 2024CLIA 44D2321421 · Waiver
1385 S COLLEGE ST STE 1, WINCHESTER, TN 37398(931) 919-4087(949) 703-8231 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Restoration Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORATION PRIMARY CARE PLLC (NPI 1609691385) is a healthcare organization registered as a family medicine in Winchester, Tennessee and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Shannon Foster, Owner, as its authorized official.

NPPES Registry Identity

NPI1609691385
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRESTORATION PRIMARY CARE PLLC
Location Address1385 S COLLEGE ST STE 1Winchester, TN 37398-2414
Mailing AddressPo Box 10Winchester, TN 37398-0010 · (931) 919-4087 · Fax (949) 703-8231
Fax(949) 703-8231
Organization SubpartNo
Authorized OfficialShannon FosterOwner · (931) 919-4087
Enumeration DateNovember 18, 2024
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1609691385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1385 S COLLEGE ST STE 1, Winchester, TN 37398

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 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 44D2321421

Restoration Primary Care PLLC · Winchester, TN
Active · expires Apr 2, 2027
CLIA Number44D2321421
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDr. Shannon Foster
Laboratory Phone(931) 919-4087
Laboratory LocationRestoration Primary Care PLLC1385 South College St Ste 1, Winchester, TN 37398
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

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

Family Medicine
1385 S COLLEGE ST STE 1
WINCHESTER, TN 37398

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 Restoration Primary Care PLLC's NPI number?

The NPI number for Restoration Primary Care PLLC is 1609691385. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Restoration Primary Care PLLC located?

Restoration Primary Care PLLC is located at 1385 S College St Ste 1, Winchester, TN 37398. The listed phone number is (931) 919-4087.

What is Restoration Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Restoration Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2321421) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Restoration Primary Care PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Restoration Primary Care 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 Restoration Primary Care PLLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.