RESTORATION CLINIC
NPI 1174226757
Nurse Practitioner - Primary Care in Decatur, TN
About Restoration Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORATION CLINIC (NPI 1174226757) is a healthcare organization registered as a primary care in Decatur, Tennessee and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates and lists English Paige Roberts, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Restoration Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Restoration Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (13)
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 2
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 44D2295374
Restoration Clinic · Decatur, TNCertificate of Waiver 44D2079983
Restoration Clinic, PLLC · Decatur, TNFrequently 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 Restoration Clinic's NPI number?
The NPI number for Restoration Clinic is 1174226757. It was assigned to this organization in the NPPES registry on March 23, 2023.
Where is Restoration Clinic located?
Restoration Clinic is located at 16850 State Highway 58 South Suite A, Decatur, TN 37322. The listed phone number is (423) 506-3781.
What is Restoration Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Restoration Clinic enrolled in Medicare?
Yes. Restoration Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Restoration Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Restoration Clinic. 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. Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Restoration Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Restoration Clinic accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Restoration Clinic 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 Restoration Clinic was last updated on February 6, 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.
# Restoration Clinic · NPI 1174226757
Primary Care organization in Decatur, Tennessee. Organization record, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1174226757 (Entity type: Organization)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** Yes (part of Restoration Clinic)
- **Authorized official:** English Roberts, OWNER
## Practice location
- **Address:** 16850 STATE HIGHWAY 58 SOUTH, SUITE A, Decatur, TN 37322
- **Phone:** (423) 506-3781 · **Fax:** (423) 454-0125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174226757) · Data from the CMS NPPES public registry.