East Tennessee Recovery, PLLC
About this NPIWhat this record shows.
NPI 1114462215 is registered to East Tennessee Recovery, PLLC, a healthcare organisation classified as "Addiction Medicine (Internal Medicine) Physician" and located at 2408 Susannah St Ste 1 in Johnson City, Tennessee. The organisation's authorised official is Daniel Tackling. The organisation has been enumerated in the NPI registry since 2016.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20170323002169Clinic/Group PracticeTN
- O20201021002606Clinic/Group PracticeVA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans East Tennessee Recovery, PLLC accepts. To confirm in-network status with your specific health plan, contact East Tennessee Recovery, PLLC directly at (423) 434-6677.
Frequently asked
Yes. NPI 1114462215 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Addiction Medicine (Internal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (423) 434-6677.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. East Tennessee Recovery, PLLC is a Type-2 organisational NPI.