NPIMap

Individual provider Active NPI

Paul D Sain, MD

  • Family Medicine Physician
  • Fayetteville, TN
National Provider Identifier
1023086675
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD29169 Issued in TN
Practice address
207 Elk Ave S
Fayetteville, TN 37334-3051
Phone
(931) 433-2551
Fax
(931) 433-1142
NPI assigned
Mar 9, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD29169 TN Primary

Addresses

Primary practice location

207 Elk Ave S
Fayetteville, TN 37334-3051

Mailing address

207 Elk Ave S
Fayetteville, TN 37334-3051
Phone (931) 433-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000118 TN Practitioner - Family Practice 2062537095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - Lincoln IncGroup PAC ID 3971987900, 11 clinicians

Practice addresses (Care Compare)

10 Eldad Rd
Fayetteville, TN 37334-7005
Phone (931) 433-2909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29169TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince May 1, 2013 Accepting new patients
HH Physician Care-Fayetteville Medical Associates Family Medicine CurrentSince Apr 15, 2017 Accepting new patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients
HH Health System - Lincoln Inc Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

10 Eldad Rd
Fayetteville, TN 37334
Phone (931) 433-2229

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

108 Medical Center Blvd
Ste 150
Fayetteville, TN 37334
Phone (931) 433-1105

207 Elk Ave S
Fayetteville, TN 37334
Phone (931) 433-2551

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: paul.sain.1@12677.direct.athenahealth.com
  • Direct secure messaging: paulsain@fmapc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elk River Health & Nursing Center of Fayetteville LLCFayetteville, TN, CCN 445320 Skilled nursing facility Adp of the SNF Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1023086675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIN",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD29169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.