JASON DELLA VECCHIA MD PLLC
NPI 1053191866
Internal Medicine - Addiction Medicine in Kingsport, TN

Q: What is Jason Della Vecchia MD PLLC's NPI number?

The NPI number for Jason Della Vecchia MD PLLC is 1053191866. It was assigned to this organization in the NPPES registry on October 2, 2023. The provider is doing business as Fresh Start Medicine.

Q: What is Jason Della Vecchia MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since October 02, 2023

1700 PINEBROOK DR STE 4, KINGSPORT, TN 37660(423) 251-6670(423) 251-1899 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, May 30, 2025, Dec 23, 2024 and 3 more (6 updates tracked since 2023).

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About Jason Della Vecchia Md Pllc NPPES

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

JASON DELLA VECCHIA MD PLLC (NPI 1053191866), doing business as Fresh Start Medicine, is a healthcare organization registered as an addiction medicine in Kingsport, Tennessee and active in the NPI registry since October 2023. The organization maintains 2 additional practice locations and lists Jason Della Vecchia, Medical Director & Cmo, as its authorized official.

NPPES Registry Identity

NPI1053191866

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameJASON DELLA VECCHIA MD PLLC

Location Address1700 PINEBROOK DR STE 4Kingsport, TN 37660-4365

Mailing Address1700 Pinebrook Dr Ste 4Kingsport, TN 37660-4365 · (423) 251-6670 · Fax (423) 251-1899

Phone(423) 251-6670

Fax(423) 251-1899

Organization SubpartNo

Authorized OfficialJason Della VecchiaMedical Director & Cmo · (423) 251-6670

Enumeration DateOctober 2, 2023

Last NPPES UpdateOctober 8, 20256 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1053191866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

1700 PINEBROOK DR STE 4, Kingsport, TN 37660

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Other Names 1

Doing Business AsFresh Start Medicine

Secondary Practice Locations 2

Location 13815 Highway 66 S Ste 4Rogersville, TN 37857-5197 · Phone (423) 922-9211 · Fax (423) 922-9301

Location 2930 Adell Ree Park LnKnoxville, TN 37909-2543 · Phone (423) 251-6670 · Fax (423) 251-1899

Other Identifiers 3

Other6477911TN · Bcbs

MedicaidQ086829TN

Medicaid1053191866VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Della Vecchia Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Jason Della Vecchia MD PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Jason Della Vecchia, MD

Internal Medicine

NPI 1770554982

1700 PINEBROOK DR STE 4
Kingsport, TN 37660

(423) 251-6670

✔ PECOSSame address

Charla Bacon, FNP-C

Nurse Practitioner

NPI 1639697188

1018 CHASE DR
Johnson City, TN 37604

(423) 282-3379

✔ PECOS✔ Accepts Medicare15 mi

Rebecca Greenway, LCSW

Clinical Social Worker

NPI 1174709323

2408 SUSANNAH ST STE 1
Johnson City, TN 37601

(423) 434-6677

✔ PECOS16 mi

Sheena Cartwright, LMSW

Clinical Social Worker

NPI 1710733761

2408 SUSANNAH ST
Johnson City, TN 37601

(423) 434-6676

✔ PECOS16 mi

Christopher Bartee, ARPN, BC

Nurse Practitioner

NPI 1962458919

1990 HOLTON AVE E
Big Stone Gap, VA 24219

(276) 523-3111

✔ PECOS✔ Accepts Medicare26 mi

Ashley Greenway, LCSW

Clinical Social Worker

NPI 1508477274

610 CAMPUS DR
Abingdon, VA 24210

(276) 525-1586

✔ PECOS32 mi

Ella Meade, D.O.

Addiction Medicine

NPI 1174717235

16000 JOHNSTON MEMORIAL DR
Abingdon, VA 24211

(276) 258-1000

✔ PECOS✔ Accepts Medicare32 mi

Katherine Lane, FNP

Nurse Practitioner

NPI 1275934788

1639 W MORRIS BLVD
Morristown, TN 37813

(423) 586-0341

✔ PECOS✔ Accepts Medicare50 mi

Carson Frasure

Nurse Practitioner

NPI 1215542931

1275 DICK LONAS RD UNIT 101
Knoxville, TN 37909

(186) 558-4474

✔ PECOS✔ Accepts Medicare94 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jason Della Vecchia MD PLLC's NPI number?

The NPI number for Jason Della Vecchia MD PLLC is 1053191866. It was assigned to this organization in the NPPES registry on October 2, 2023. The provider is doing business as Fresh Start Medicine.

Where is Jason Della Vecchia MD PLLC located?

Jason Della Vecchia MD PLLC is located at 1700 Pinebrook Dr Ste 4, Kingsport, TN 37660. The listed phone number is (423) 251-6670.

What is Jason Della Vecchia MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Jason Della Vecchia MD PLLC enrolled in Medicare?

Yes. Jason Della Vecchia MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jason Della Vecchia MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Jason Della Vecchia MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Social Worker (3) and Addiction Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jason Della Vecchia MD PLLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.