Active NPI
Samuel Paul Sells Jr., MD
- Family Medicine Physician
- Shelbyville, TN
National Provider Identifier
1245341403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD10299
- Practice address
- 1701 North Main Street
Suite a
Shelbyville, TN 37160 - Phone
- (931) 684-2770
- Fax
- (931) 684-2774
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10299 | TN | Primary |
Addresses
Primary practice location
1701 North Main Street
Suite a
Shelbyville, TN 37160
Mailing address
PO Box 767
Shelbyville, TN 37162
Phone (931) 684-2770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004328 | Other | BCBS OF TN | |
| 2771119 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10299 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1245341403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "37162",
"telephone_number": "931-684-2770",
"fax_number": "931-684-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NORTH MAIN STREET",
"address_2": "SUITE A",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "37160",
"telephone_number": "931-684-2770",
"fax_number": "931-684-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLS",
"first_name": "SAMUEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD10299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "0004328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2771119",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
- Rutherford County Primary Care (Primary Care & Hope Clinic Pharmacy Shelbyville)
- Aubrey Sanders, PHARMD
- Brian Nathan Sarapin, P.A.
- Rhonda Saylor, M.A.
- Jordan L Schlabach, DPT
- Seven Springs Orthopaedics, PC
- Kathy Lynn Shamblin, OD
- Sharon Stocking MD PC
- Mary Leta Shavers
- Shelbyville Bedford County Senior Citizens Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.