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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: November 01, 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
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Other Names 1

Doing Business AsNew Life Medicine

Secondary Practice Locations 6

Location 118948 US Highway 58Castlewood, VA 24224-6032 · Phone (276) 762-2172 · Fax (276) 762-5039
Location 219380 US Highway 58Castlewood, VA 24224 · Phone (276) 762-2172 · Fax (276) 762-5039
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 61662 Bonham RdBristol, VA 24201-2090 · Phone (276) 644-9899 · Fax (276) 644-9978

Other Identifiers 3

Medicaid2017139831VA
Medicaid7100519480KY
MedicaidQ026013TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Tennessee Recovery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to East Tennessee Recovery, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner13
Clinical Social Worker4
Addiction Medicine3
Mental Health Counselor3
Internal Medicine2
General Practice1

Nearest to this location (20)

See all 26
Marianne Filka, MD
Addiction Medicine
NPI 1174525307
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Rebecca Greenway, LCSW
Clinical Social Worker
NPI 1174709323
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Emmalea Johnston, NP-C
Nurse Practitioner
NPI 1073891701
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Ashlyn Morehouse
Nurse Practitioner
NPI 1962126128
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Jared Pack, DO
Internal Medicine
NPI 1396163101
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Christy Smith, APN
Nurse Practitioner
NPI 1316117013
2408 SUSANNAH ST STE 1
Johnson City, TN 37601
(423) 434-6670
✔ PECOSSame address
Chambless Johnston, MD
Internal Medicine
NPI 1790972628
2408 SUSANNAH ST
Johnson City, TN 37601
(423) 434-6677
✔ PECOSSame address
Lacinda Thomas, LPC
Mental Health Counselor
NPI 1780948034
2243 EDDIE WILLIAMS RD
Johnson City, TN 37601
(423) 928-5627
✔ PECOS2.8 mi
Carrie Lingerfelt, FNP/ CNM
Nurse Practitioner
NPI 1497784136
2151 CENTURY LN
Johnson City, TN 37604
(423) 926-2500
✔ PECOS3.1 mi
Jason Della Vecchia, MD
Addiction Medicine
NPI 1770554982
1700 PINEBROOK DR STE 4
Kingsport, TN 37660
(423) 251-6670
✔ PECOS16 mi
Christina Millinger, NP
Nurse Practitioner
NPI 1104331396
390 KANE ST
Gate City, VA 24251
(276) 386-3411
✔ PECOS✔ Accepts Medicare23 mi
Latoshia Belcher, LPC
Mental Health Counselor
NPI 1588276547
1662 BONHAM RD
Bristol, VA 24201
(276) 644-9899
✔ PECOS23 mi
Stephanie Brooks, LCSW
Clinical Social Worker
NPI 1730373143
1662 BONHAM RD
Bristol, VA 24201
(276) 644-9899
✔ PECOS✔ Accepts Medicare23 mi
Beth Morley, NP-C
Nurse Practitioner
NPI 1316359003
1662 BONHAM RD
Bristol, VA 24201
(276) 644-9899
✔ PECOS23 mi
Joshua Morris, D.O.
Addiction Medicine
NPI 1215224902
1662 BONHAM RD
Bristol, VA 24201
(276) 644-9899
✔ PECOS23 mi
Catherine Parker, NP
Nurse Practitioner
NPI 1003025727
1662 BONHAM RD
Bristol, VA 24201
(276) 644-9899
✔ PECOS23 mi
Ashley Greenway, LCSW
Clinical Social Worker
NPI 1508477274
610 CAMPUS DR
Abingdon, VA 24210
(276) 525-1586
✔ PECOS33 mi
George Halstead, M.D.
General Practice
NPI 1942593603
137 COURT ST SE
Abingdon, VA 24210
(276) 477-1400
✔ PECOS34 mi
Laura Tiller, NP
Nurse Practitioner
NPI 1639755234
18948 US HIGHWAY 58
Castlewood, VA 24224
(276) 762-2172
✔ PECOS37 mi
Michaela Barnes
Mental Health Counselor
NPI 1114410016
2011 2ND ST
Richlands, VA 24641
(276) 345-9900
✔ PECOS60 mi
See all 26 clinicians

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

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, Ste 1, 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.

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.

Is East Tennessee Recovery, PLLC enrolled in Medicare?

Yes. East Tennessee Recovery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Tennessee Recovery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 6 Medicare specialties reassign their Medicare billing to East Tennessee Recovery, 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 (13), Clinical Social Worker (4) and Addiction Medicine (3). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cigna Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.