Restoration Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESTORATION PRIMARY CARE PLLC

Practice address

1385 S College St Ste 1
Winchester, TN 37398-2414

Phone

(931) 919-4087

Fax

(949) 703-8231

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Shannon FosterNPI 1174849889

Title

Owner

Phone

(931) 919-4087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Shannon Foster, MD

  • Family Medicine Physician
  • Winchester, TN
  • NPI 1174849889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1609691385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373980010",
            "telephone_number": "931-919-4087",
            "fax_number": "949-703-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S COLLEGE ST STE 1",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982414",
            "telephone_number": "931-919-4087",
            "fax_number": "949-703-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-919-4087"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Health Service, LLC
• William McBride Pryor, M.D.
• Kelsey Purcell, PA-C
• Frank G Rao, MD
• Elizabeth Reimers, M.D.
• Results-Ast JV, LLC
• Brittany Lee Rhodes, FNP-C
• Rhonda Acklen-Tawwater (Professional Health Service)
• Richard a Bagby Jr MD PC
• Amy Lynn Richardson, NP-C

• Family Medicine Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.