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OVERMOUNTAIN RECOVERY
NPI 1033624853
Clinic/Center - Rehabilitation, Substance Use Disorder in Gray, TN

Active since December 04, 2017CLIA 44D2133017 · Waiver
203 GRAY COMMONS CIR STE 110, GRAY, TN 37615(423) 467-2800(423) 467-9656 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Feb 26, 2020, Jan 23, 2020 and 3 more (6 updates tracked since 2017).

About Overmountain Recovery NPPES

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

OVERMOUNTAIN RECOVERY (NPI 1033624853) is a healthcare organization registered as a rehabilitation, substance use disorder in Gray, Tennessee and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1033624853
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEAST TENNESSEE HEALTHCARE HOLDINGS INC
Location Address203 GRAY COMMONS CIR STE 110Gray, TN 37615-5407
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 467-2800 · Fax (423) 467-9656
Phone(423) 467-2800
Fax(423) 467-9656
Organization SubpartNo
Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467
Enumeration DateDecember 4, 2017
Last NPPES UpdateApril 17, 20246 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1033624853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
203 GRAY COMMONS CIR STE 110, Gray, TN 37615
Open in Google Maps ↗

Other Names 1

Doing Business AsOvermountain Recovery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2133017

East Tn Healthcare Holding Inc Dba Overmountain Recovery · Gray, TN
Active · expires Jul 2, 2027
CLIA Number44D2133017
Laboratory TypeStand Alone Substance Abu
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorFrank Ryan Stump
Laboratory Phone(423) 467-2808
Laboratory LocationEast Tn Healthcare Holding Inc Dba Overmountain Recovery203 Gray Commons Circle, Ste 110, Gray, TN 37615
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
712 services24 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
258 services18 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH G ENNIS LPC-MHSP
Counselor (Professional)
203 GRAY COMMONS CIR STE 110
JOHNSON CITY, TN 37615
Washington County (833) 371-0509
MR. ROBERT EUGENE WILSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
203 GRAY COMMONS CIR STE 110
JOHNSON CITY, TN 37615
Washington County (833) 371-0509
ASHLEY BYNUM MA, LPC-MHSP
Counselor (Professional)
203 GRAY COMMONS CIR STE 110
JOHNSON CITY, TN 37615
Washington County (423) 467-2800
DR. ANNA MARIA ARROYO SANTIAGO MD
Internal Medicine (Addiction Medicine)
203 GRAY COMMONS CIR STE 110
JOHNSON CITY, TN 37615
Washington County (833) 371-0509

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 East Tennessee Healthcare Holdings Inc's NPI number?

The NPI number for East Tennessee Healthcare Holdings Inc is 1033624853. It was assigned to this organization in the NPPES registry on December 4, 2017. The provider is doing business as Overmountain Recovery.

Where is East Tennessee Healthcare Holdings Inc located?

East Tennessee Healthcare Holdings Inc is located at 203 Gray Commons Cir Ste 110, Gray, TN 37615. The listed phone number is (423) 467-2800.

What is East Tennessee Healthcare Holdings Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does East Tennessee Healthcare Holdings Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2133017) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Tennessee Healthcare Holdings Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Tennessee Healthcare Holdings Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Tennessee Healthcare Holdings Inc was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.