Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sewanee Family Practice PLLC

Organization Family Medicine Physician · NPI 1063817625

Sewanee Family Practice PLLC is a Family Medicine Physician in Sewanee, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1314 University Ave
Sewanee, TN 37375-2336
Phone: (931) 598-5648
Fax: (931) 598-0778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34975 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 713 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1376 (TN)

Record details

NPI number1063817625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Koella — Presiedent · (931) 598-5648
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing addressPo Box 700, Sewanee, TN 37375-0700

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