Individual provider Active NPI

Sara Jo Wells, APRN

  • Family Nurse Practitioner
  • Decatur, TN
National Provider Identifier
1366273104
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36543 Issued in TN
Practice address
16850 State Highway 58 S
Decatur, TN 37322-5259
Phone
(423) 334-2300
NPI assigned
Aug 13, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36543 TN Primary
Registered Nurse 163W00000X 238476 TN

Addresses

Primary practice location

16850 State Highway 58 S
Decatur, TN 37322-5259

Mailing address

16850 State Highway 58 S
Decatur, TN 37322-5259
Phone (423) 334-2300

Other names 1

  • Sara Jo Hunley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250111000288 TN Practitioner - Nurse Practitioner 2264960749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialties PLLCGroup PAC ID 9830538107, 3 clinicians

Practice addresses (Care Compare)

16850 State Hwy 58 S
Suite B
Decatur, TN 37322-5259
Phone (423) 507-7961

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
238476TNMDRegistered Nurse
36543TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Clinic CurrentSince Sep 8, 2024 Accepting new patients
Restoration Clinic Family CurrentSince Jan 27, 2026 Accepting new patients
Medical Specialties PLLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

16850 State Highway 58 S
Decatur, TN 37322
Phone (423) 333-9785

16850 State Highway 58 S
Ste A
Decatur, TN 37322
Phone (423) 334-2300

16850 State Highway 58 S
Ste B
Decatur, TN 37322
Phone (423) 507-7961

17619 State Highway 58 N
Ste C
Decatur, TN 37322
Phone (423) 334-2300

Organizations & group practices 3

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 1

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1366273104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 STATE HIGHWAY 58 S",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373225259",
            "telephone_number": "423-334-2300",
            "fax_number": "423-205-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 STATE HIGHWAY 58 S",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373225259",
            "telephone_number": "423-334-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SARA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36543",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "238476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HUNLEY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, TN

Sources for this page

Verify at the official NPI Registry.