East Tennessee Addiction Specialists
NPI 1770080632 · Substance Use Disorder Rehabilitation Clinic/Center · Maryville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee Addiction Specialists is a Substance Use Disorder Rehabilitation Clinic/Center organization in Maryville, TN (NPI 1770080632).
Provider details
- NPI number
- 1770080632
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clay Stalcup, Coowner(865) 406-2715
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-04-09
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is East Tennessee Addiction Specialists's NPI number?
- East Tennessee Addiction Specialists's National Provider Identifier (NPI) is 1770080632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Addiction Specialists?
- East Tennessee Addiction Specialists is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Tennessee Addiction Specialists located?
- East Tennessee Addiction Specialists's practice location on file with NPPES is 111 Station Dr Bldg 3, Maryville, TN 37804-4190.
- What is East Tennessee Addiction Specialists's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Addiction Specialists is (865) 268-4360.
- Does East Tennessee Addiction Specialists accept Medicare?
- East Tennessee Addiction Specialists 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 Addiction Specialists?
- The authorized official listed on East Tennessee Addiction Specialists's NPPES record is Clay Stalcup, Coowner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Addiction Specialists's NPI active?
- Yes — East Tennessee Addiction Specialists's NPI (1770080632) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.