Organization Active NPI

C S Sewell M.D. P.C.

  • Family Medicine Physician
  • Jamestown, TN
National Provider Identifier
1285733766
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28362 Issued in TN
Legal business name
C S SEWELL M.D. P.C.
Practice address
341 West Central Ave
Jamestown, TN 38556
Phone
(931) 879-9892
Fax
(931) 879-9893
NPI assigned
Sep 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Christopher Samuel Sewell, M.D.NPI 1881699981
Title
M.D.
Phone
(931) 879-9892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20090804000444 TN Part B Supplier - Clinic/Group Practice 4183777469 Receives reassigned benefits from 3 practitioners
Practice locations: Jamestown, TN

National Provider Directory

National Provider Directory

Locations

238 Central Ave W
Jamestown, TN 38556
Phone (931) 879-9892

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 28362 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

341 West Central Ave
Jamestown, TN 38556

Mailing address

PO Box 1320
Jamestown, TN 38556-1320
Phone (931) 879-9892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2009.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1285733766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1320",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385561320",
            "telephone_number": "931-879-9892",
            "fax_number": "931-879-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WEST CENTRAL AVE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-9892",
            "fax_number": "931-879-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C S SEWELL M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "931-879-9892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "28362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.