Healthcare Provider Details

I. General information

NPI: 1861125403
Provider Name (Legal Business Name): SARAH ELIZABETH SEWELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5819 WINDING LN STE 133
HIXSON TN
37343-4067
US

IV. Provider business mailing address

5819 WINDING LN STE 133
HIXSON TN
37343-4067
US

V. Phone/Fax

Practice location:
  • Phone: 423-933-2575
  • Fax: 423-285-6160
Mailing address:
  • Phone: 540-892-6704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPENDING
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: