East Tennessee Recovery, PLLC
NPI 1114462215 · Addiction Medicine (Internal Medicine) Physician · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee Recovery, PLLC is a Addiction Medicine (Internal Medicine) Physician organization in Johnson City, TN (NPI 1114462215).
Provider details
- NPI number
- 1114462215
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Tackling, Cfo(423) 434-6677
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- New Life Medicine
- Former legal business name
- New Life Medicine
Additional practice locations (6)
- 137 Court St SeAbingdon, VA 24210-3305Phone: (276) 477-1400Fax: (276) 477-1401
- 1662 Bonham RdBristol, VA 24201-2090Phone: (276) 644-9899Fax: (276) 644-9978
- 18948 US Highway 58Castlewood, VA 24224-6032Phone: (276) 762-2172Fax: (276) 762-5039
- 19380 US Highway 58Castlewood, VA 24224Phone: (276) 762-2172Fax: (276) 762-5039
- 1725 Park Ave SwNorton, VA 24273-1608Phone: (276) 409-5922Fax: (276) 409-5923
- 2011 2nd StRichlands, VA 24641-2305Phone: (276) 345-9900Fax: (276) 345-9901
Registry dates
- Enumerated
- 2016-12-27
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is East Tennessee Recovery, PLLC's NPI number?
- East Tennessee Recovery, PLLC's National Provider Identifier (NPI) is 1114462215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Recovery, PLLC?
- East Tennessee Recovery, PLLC is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is East Tennessee Recovery, PLLC located?
- East Tennessee Recovery, PLLC's practice location on file with NPPES is 2408 Susannah St Ste 1, Johnson City, TN 37601-1765.
- What is East Tennessee Recovery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Recovery, PLLC is (423) 434-6677.
- Does East Tennessee Recovery, PLLC accept Medicare?
- East Tennessee Recovery, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Tennessee Recovery, PLLC?
- The authorized official listed on East Tennessee Recovery, PLLC's NPPES record is Daniel Tackling, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Recovery, PLLC's NPI active?
- Yes — East Tennessee Recovery, PLLC's NPI (1114462215) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.