Sewanee Pediatrics and Adolescent Medicine PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SEWANEE PEDIATRICS AND ADOLESCENT MEDICINE PLLC

Practice address

1318 University Ave
Sewanee, TN 37375-2336

Phone

(931) 598-9761

Fax

(931) 598-5038

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By 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

Amy H Evans, MDNPI 1700897485

Title

Physician

Phone

(931) 598-9761

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Amy Hurst Evans, M.D.

  • Pediatrics Physician
  • Sewanee, TN
  • NPI 1700897485
  NPD (past) Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1871997841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373750249",
            "telephone_number": "931-598-9761",
            "fax_number": "931-598-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 UNIVERSITY AVE",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373752336",
            "telephone_number": "931-598-9761",
            "fax_number": "931-598-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWANEE PEDIATRICS AND ADOLESCENT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-598-9761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Petrilla, DO
• Robin Allison Reed-Spaulding, PHD
• Gerre L Schwert, LCSW
• Devon Forbes Frances Serrano, MS, ATC
• Sewanee Family Practice PLLC
• Anne Milner Sitz, FNP, BC
• Austin Stevens, ATC
• Jeffrey Alton Stirnemann, MD
• Laurel Elise Anderson Tarhan
• The Consulting Rd

• Pediatrics Physician in Sewanee, TN
• Providers in Sewanee, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.