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EAST TENNESSEE RECOVERY, PLLC
NPI 1114462215
Internal Medicine - Addiction Medicine in Johnson City, TN

Active since December 27, 2016CLIA 44D2135461 · Waiver
2408 SUSANNAH ST STE 1, JOHNSON CITY, TN 37601(423) 434-6677(423) 461-0000 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Nov 6, 2024, Aug 28, 2023 and 10 more (13 updates tracked since 2016).

About East Tennessee Recovery, Pllc NPPES

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

EAST TENNESSEE RECOVERY, PLLC (NPI 1114462215), doing business as New Life Medicine, is a healthcare organization registered as an addiction medicine in Johnson City, Tennessee and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through June 14, 2027, maintains 6 additional practice locations, and lists Daniel Tackling, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114462215
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameEAST TENNESSEE RECOVERY, PLLC
Location Address2408 SUSANNAH ST STE 1Johnson City, TN 37601-1765
Mailing Address2408 Susannah St Ste 1Johnson City, TN 37601-1765 · (423) 434-6677 · Fax (423) 461-0000
Phone(423) 434-6677
Fax(423) 461-0000
Organization SubpartNo
Authorized OfficialDaniel TacklingCfo · (423) 434-6677
Enumeration DateDecember 27, 2016
Last NPPES UpdateDecember 16, 202513 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1114462215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2408 SUSANNAH ST STE 1, Johnson City, TN 37601
Open in Google Maps ↗

Other Names 1

Doing Business AsNew Life Medicine

Secondary Practice Locations 6

Location 119380 US Highway 58Castlewood, VA 24224 · Phone (276) 762-2172 · Fax (276) 762-5039
Location 21662 Bonham RdBristol, VA 24201-2090 · Phone (276) 644-9899 · Fax (276) 644-9978
Location 32011 2nd StRichlands, VA 24641-2305 · Phone (276) 345-9900 · Fax (276) 345-9901
Location 4137 Court St SEAbingdon, VA 24210-3305 · Phone (276) 477-1400 · Fax (276) 477-1401
Location 51725 Park Ave SWNorton, VA 24273-1608 · Phone (276) 409-5922 · Fax (276) 409-5923
Location 618948 US Highway 58Castlewood, VA 24224-6032 · Phone (276) 762-2172 · Fax (276) 762-5039

Other Identifiers 3

Medicaid2017139831VA
Medicaid7100519480KY
MedicaidQ026013TN

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 44D2135461

East Tennessee Recovery Dba New Life Medicine · Johnson City, TN
Active · expires Jun 14, 2027
CLIA Number44D2135461
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Jason D. Vecchia
Laboratory Phone(423) 434-6677
Laboratory LocationEast Tennessee Recovery Dba New Life Medicine2408 Susannah Street, Johnson City, TN 37601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MATTHEW A WINEMAN
Counselor (Addiction (Substance Use Disorder))
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
HAILEY RODGERS CPRS
Peer Specialist
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
JORDAN DANIELLE CONLEY LPC
Counselor (Professional)
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
ALLYSON ELIZABETH LEE LCSW
Social Worker (Clinical)
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
REBECCA DIAN GREENWAY LCSW
Social Worker (Clinical)
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
CA'LANTRICA HUNT LPC
Counselor (Professional)
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
EMMALEA ELIZABETH JOHNSTON NP-C
Nurse Practitioner (Family)
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
MRS. ASHLYN NICOLE MOREHOUSE
Nurse Practitioner
2408 SUSANNAH ST STE 1
JOHNSON CITY, TN 37601
Washington County (423) 434-6677

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 Recovery, PLLC's NPI number?

The NPI number for East Tennessee Recovery, PLLC is 1114462215. It was assigned to this organization in the NPPES registry on December 27, 2016. The provider is doing business as New Life Medicine.

Where is East Tennessee Recovery, PLLC located?

East Tennessee Recovery, PLLC is located at 2408 Susannah St Ste 1, Johnson City, TN 37601. The listed phone number is (423) 434-6677.

What is East Tennessee Recovery, PLLC's specialty?

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

Does East Tennessee Recovery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2135461) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Tennessee Recovery, PLLC 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 2 other insurers list East Tennessee Recovery, PLLC 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 Recovery, PLLC was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.