MR. GEORGE GLEN MASSENGILL LADAC
NPI 1033447263
Counselor - Addiction (Substance Use Disorder) in Jacksboro, TN

Q: What is George Massengill's NPI number?

The NPI number for George Massengill is 1033447263. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Q: What is George Massengill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for George Massengill was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2009

188 INDIAN MOUND CIR, JACKSBORO, TN 37757(423) 566-2437(423) 566-2948 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. George Glen Massengill Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEORGE GLEN MASSENGILL LADAC (NPI 1033447263) is an individual addiction (substance use disorder) provider in Jacksboro, Tennessee, licensed in Tennessee (580) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1033447263

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. GEORGE GLEN MASSENGILLCredential: LADAC

Location Address188 INDIAN MOUND CIRJacksboro, TN 37757-2100

Mailing Address188 Indian Mound CirJacksboro, TN 37757-2100 · (423) 566-2437 · Fax (423) 566-2948

Phone(423) 566-2437

Fax(423) 566-2948

Sole ProprietorYes

Enumeration DateNovember 30, 2009

✔ NPI 1033447263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in TN · 580

188 INDIAN MOUND CIR, Jacksboro, TN 37757

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Massengill's NPI number?

The NPI number for George Massengill is 1033447263. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Where is George Massengill located?

George Massengill practices at 188 Indian Mound Cir, Jacksboro, TN 37757. The listed phone number is (423) 566-2437.

What is George Massengill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for George Massengill was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.