RESTORATION CLINIC
NPI 1174226757
Nurse Practitioner - Primary Care in Decatur, TN

Active since March 23, 2023CLIA 44D2295374 · Waiver
16850 STATE HIGHWAY 58 SOUTH, SUITE A, DECATUR, TN 37322(423) 506-3781(423) 454-0125 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Mar 23, 2023 (2 updates tracked since 2023).

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 a CLIA Waiver certificate valid through December 10, 2027 and lists English Paige Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1174226757
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameRESTORATION CLINIC
Location Address16850 STATE HIGHWAY 58 SOUTH, SUITE ADecatur, TN 37322
Mailing Address16850 State Highway 58 S Ste ADecatur, TN 37322-5259 · (423) 507-7961 · Fax (423) 454-0125
Fax(423) 454-0125
Organization SubpartYes
Authorized OfficialEnglish Paige RobertsOwner · (423) 334-2300
Enumeration DateMarch 23, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1174226757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
16850 STATE HIGHWAY 58 SOUTH, Decatur, TN 37322

Accepted 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 44D2295374

Restoration Clinic · Decatur, TN
Active · expires Dec 10, 2027
CLIA Number44D2295374
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorEnglish Roberts
Laboratory Phone(423) 334-2300
Laboratory LocationRestoration Clinic16850 State Hwy 58 South, Suite A, Decatur, TN 37322
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 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.

Does Restoration Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2295374) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 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 with the weekly NPPES data releases published by CMS.