Sarah Moon Thelen MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SARAH MOON THELEN MD PLLC

Practice address

305 College St W
Fayetteville, TN 37334-2911

Phone

(931) 227-4984

Fax

(931) 227-4985

NPI assigned

Feb 11, 2011

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Moon Thelen, MDNPI 1952573289

Title

Physician

Phone

(931) 227-4984

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Moon Thelen, MD

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1952573289
  Medicare reassignment NPD Authorized official
• Sallyann G Storer, DNP, FNP-BC

  • Nurse Practitioner
  • Fayetteville, TN
  • NPI 1457329302
  Medicare reassignment NPD

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1689971525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COLLEGE ST W",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342911",
            "telephone_number": "931-227-4984",
            "fax_number": "931-227-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COLLEGE ST W",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342911",
            "telephone_number": "931-227-4984",
            "fax_number": "931-227-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH MOON THELEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MOON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-227-4984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522804",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Rodgers, NURSE PRACTITIONER
• Carla Rutledge, B.S.
• Paul D Sain, MD
• Laurraine Sakoane
• Kristie M Sanders, FNP-C
• Pauline S Sawyers, PHD
• Bartie C Scott, FNP
• Cara Scott, PT
• Paxton Seeley
• Joseph Wayne Self

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, 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 Jul 7, 2026; 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.