Sewanee Family Practice PLLC
NPI 1063817625ActiveOrganization· Family Medicine· Sewanee, TN
Family Medicine in Sewanee, Tennessee, registered in NPPES in October 2014. The authorized official on file is Louis E. Koella, MD, Presiedent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063817625 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2014 |
| Last updated in NPPES | Oct 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 34975 | TN |
| Family Medicine | 207Q00000X | 713 | TN |
| Family Medicine | 207Q00000X | 1376 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other family medicine physicians in Sewanee
- 1104813211
- 1740250471
- 1811967532
- 1316152994