RESTORATION CLINIC
NPI 1205248796
Clinic/Center - Rural Health in Decatur, TN

Active since June 02, 2014
17619 STATE HIGHWAY 58 N STE C, DECATUR, TN 37322(423) 506-3781 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2024, Aug 13, 2020, Apr 20, 2018 (3 updates tracked since 2018).

About Restoration Clinic NPPES

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

RESTORATION CLINIC (NPI 1205248796) is a healthcare organization registered as a rural health in Decatur, Tennessee and active in the NPI registry since June 2014. The organization lists English Paige Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1205248796
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRESTORATION CLINIC
Location Address17619 STATE HIGHWAY 58 N STE CDecatur, TN 37322-7882
Mailing AddressPo Box 1094Decatur, TN 37322-1094 · (423) 506-3781 · Fax (423) 454-0178
Organization SubpartNo
Authorized OfficialEnglish Paige RobertsOwner · (423) 506-3781
Enumeration DateJune 2, 2014
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1205248796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
17619 STATE HIGHWAY 58 N STE C, Decatur, TN 37322

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

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Restoration Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1508697681
17619 STATE HIGHWAY 58 N STE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306221213
17619 STATE HIGHWAY 58 N SUITE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326384991
17619 STATE HIGHWAY 58 N STE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023540291
17619 STATE HIGHWAY 58 N STE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1275693921
16850 STATE HIGHWAY 58 S STE A
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1366273104
16850 STATE HIGHWAY 58 S
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1487457974
16850 STATE HIGHWAY 58 S
Decatur, TN 37322
(423) 334-3200
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1932758828
12 WALCON LN APT 2
Athens, TN 37303
(423) 252-7615
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1467935817
5625 HIGHWAY 60
Birchwood, TN 37308
(423) 209-5540
✔ PECOS16 mi
Nurse Practitioner
NPI 1255804019
3913 GEORGETOWN RD NW
Cleveland, TN 37312
(423) 479-3600
✔ PECOS19 mi
Nurse Practitioner
NPI 1720661549
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8200
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1568918878
14821 DAYTON PIKE
Sale Creek, TN 37373
(423) 486-9455
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1134729965
111 CLYDE ST
Loudon, TN 37774
(865) 458-1554
✔ PECOS✔ Accepts Medicare30 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 Restoration Clinic's NPI number?

The NPI number for Restoration Clinic is 1205248796. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Restoration Clinic located?

Restoration Clinic is located at 17619 State Highway 58 N Ste C, 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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 April 8, 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.