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APPLEGATE RECOVERY - JACKSON
NPI 1235715830
Clinic/Center - Rehabilitation, Substance Use Disorder in Jackson, TN

Active since March 23, 2021CLIA Certified · 3 labs
23 WEATHERFORD SQ, JACKSON, TN 38305(731) 217-3777 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2024, Feb 28, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2021).

About Applegate Recovery - Jackson NPPES

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

APPLEGATE RECOVERY - JACKSON (NPI 1235715830) is a healthcare organization registered as a rehabilitation, substance use disorder in Jackson, Tennessee and active in the NPI registry since March 2021. The organization holds 3 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1235715830
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameREDEMPTION RECOVERY CENTER, LLC
Location Address23 WEATHERFORD SQJackson, TN 38305-2202
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(731) 217-3777
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateMarch 23, 2021
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1235715830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
23 WEATHERFORD SQ, Jackson, TN 38305
Open in Google Maps ↗

Other Names 1

Doing Business AsApplegate Recovery - Jackson

Secondary Practice Locations 4

Location 11010 Wayne Rd Ste 203Savannah, TN 38372-1536 · Phone (731) 217-3777
Location 2303 E Poplar AveSelmer, TN 38375-1723 · Phone (731) 217-3777
Location 3302 East Tickle StreetDyersburg, TN 38024 · Phone (731) 217-3777
Location 4115 Highway 641 SCamden, TN 38320-1639 · Phone (731) 217-3777

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Applegate Recovery - Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220201001049Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Applegate Recovery - Jackson, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Steve Weaver, MD
Addiction Medicine
NPI 1295704393
23 WEATHERFORD SQ
Jackson, TN 38305
(731) 217-3799
✔ PECOS✔ Accepts MedicareSame address
David Mccord, M.D.
Orthopedic Surgery
NPI 1124065420
229 POTEAT PL
Franklin, TN 37064
(615) 330-0509
✔ PECOS112 mi
Mark Chambers, M.D
Family Practice
NPI 1033168059
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 936-2000
✔ PECOS✔ Accepts Medicare118 mi
Stacey Groves, PA-C
Physician Assistant
NPI 1114298684
317 SEVEN SPRINGS WAY STE 101
Brentwood, TN 37027
(615) 370-9992
✔ PECOS✔ Accepts Medicare119 mi
Louis Lerebours, MD
Family Practice
NPI 1851821649
1001 CAPITAL FUNDS CT
Nashville, TN 37217
(615) 361-6713
✔ PECOS✔ Accepts Medicare126 mi

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 3

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 44D2216843

Redemption Recovery Center LLC Dba Applegate Recovery Jackson · Jackson, TN
Active · expires Mar 15, 2027
CLIA Number44D2216843
Laboratory TypeOt Treatment
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorSteven G. Weaver
Laboratory Phone(469) 830-8483
Laboratory LocationRedemption Recovery Center LLC Dba Applegate Recovery Jackson23 Weatherford Square, Jackson, TN 38305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2216854

Redemption Recovery Center LLC Dba Applegate Recovery Savannah · Savannah, TN
Active · expires Mar 15, 2027
CLIA Number44D2216854
Laboratory TypeOt Addiction Treatment
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorSteven Weaver
Laboratory Phone(469) 830-8483
Laboratory LocationRedemption Recovery Center LLC Dba Applegate Recovery Savannah1010 Wayne Road Suite 203, Savannah, TN 38372
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2216856

Redemption Recovery Center LLC Dba Applegate Recovery Dyersburg · Dyersburg, TN
Active · expires Mar 15, 2027
CLIA Number44D2216856
Laboratory TypeOt Addiction Treatment
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorGary Mcbride
Laboratory Phone(469) 470-4779
Laboratory LocationRedemption Recovery Center LLC Dba Applegate Recovery Dyersburg305 E Tickle Street, Dyersburg, TN 38024
CLIA data matches this NPI record on: Name
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 Redemption Recovery Center, LLC's NPI number?

The NPI number for Redemption Recovery Center, LLC is 1235715830. It was assigned to this organization in the NPPES registry on March 23, 2021. The provider is doing business as Applegate Recovery - Jackson.

Where is Redemption Recovery Center, LLC located?

Redemption Recovery Center, LLC is located at 23 Weatherford Sq, Jackson, TN 38305. The listed phone number is (731) 217-3777.

What is Redemption Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Redemption Recovery Center, LLC enrolled in Medicare?

Yes. Redemption Recovery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Redemption Recovery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Redemption Recovery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Redemption Recovery Center, LLC, in Addiction Medicine, Family Practice, Orthopedic Surgery and Physician Assistant. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Redemption Recovery Center, LLC hold CLIA laboratory certificates?

Yes. 3 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 Redemption Recovery Center, LLC accept?

Health plans from Cigna Healthcare list Redemption Recovery Center, LLC 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 Redemption Recovery Center, LLC was last updated on July 29, 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.