30:17 Recovery
NPI 1679331284 · Addiction Medicine (Internal Medicine) Physician · Jackson, TN
30:17 Recovery is a Addiction Medicine (Internal Medicine) Physician organization in Jackson, TN (NPI 1679331284).
Provider details
- NPI number
- 1679331284
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Mcbroom, Director(731) 215-0449
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-03-08
Frequently asked questions
- What is 30:17 Recovery's NPI number?
- 30:17 Recovery's National Provider Identifier (NPI) is 1679331284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 30:17 Recovery?
- 30:17 Recovery is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is 30:17 Recovery located?
- 30:17 Recovery's practice location on file with NPPES is 188 Carriage House Dr, Jackson, TN 38305-3969.
- What is 30:17 Recovery's phone number?
- The practice phone number listed in the NPPES registry for 30:17 Recovery is (731) 215-0049.
- Who is the authorized official for 30:17 Recovery?
- The authorized official listed on 30:17 Recovery's NPPES record is Melissa Mcbroom, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 30:17 Recovery's NPI active?
- Yes — 30:17 Recovery's NPI (1679331284) is active in the NPPES registry as of the last update on 2024-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.