RECOVERY SPECIALISTS OF MID SOUTH, LLC
NPI 1417599747
Prevention Professional in Jackson, TN

Q: What is Recovery Specialists Of Mid South, LLC's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Active since October 08, 2019CLIA 44D2090872 · Waiver

164 W UNIVERSITY PKWY, JACKSON, TN 38305(731) 215-1135(731) 410-6156 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, Feb 28, 2025, Oct 8, 2019 (3 updates tracked since 2019).

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About Recovery Specialists Of Mid South, Llc NPPES

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

RECOVERY SPECIALISTS OF MID SOUTH, LLC (NPI 1417599747), doing business as Mid South Recovery, is a healthcare organization registered as a prevention professional in Jackson, Tennessee and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Elizabeth M Cole, Director/coowner, as its authorized official.

NPPES Registry Identity

NPI1417599747

Entity TypeOrganization

Primary Taxonomy405300000X

Legal Business NameRECOVERY SPECIALISTS OF MID SOUTH, LLC

Location Address164 W UNIVERSITY PKWYJackson, TN 38305-1621

Mailing Address164 W University Pkwy Ste AJackson, TN 38305-1621 · (731) 215-1135 · Fax (731) 410-6156

Phone(731) 215-1135

Fax(731) 410-6156

Organization SubpartNo

Authorized OfficialElizabeth M ColeDirector/coowner · (731) 215-1135

Enumeration DateOctober 8, 2019

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1417599747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

164 W UNIVERSITY PKWY, Jackson, TN 38305

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Other Names 1

Doing Business AsMid South Recovery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 44D2090872

Recovery Specialists Of The Mid South · Jackson, TN

Active · expires Feb 1, 2027

CLIA Number44D2090872

Laboratory TypePhysician Office

Certificate Effective DateFebruary 2, 2025

Certificate Expiration DateFebruary 1, 2027

Laboratory DirectorJames Appleton

Laboratory Phone(731) 215-1135

Laboratory LocationRecovery Specialists Of The Mid South164 W University Pkwy, Suite A, Jackson, TN 38305

CLIA data matches this NPI record on: Address 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 Recovery Specialists Of Mid South, LLC's NPI number?

The NPI number for Recovery Specialists Of Mid South, LLC is 1417599747. It was assigned to this organization in the NPPES registry on October 8, 2019. The provider is doing business as Mid South Recovery.

Where is Recovery Specialists Of Mid South, LLC located?

Recovery Specialists Of Mid South, LLC is located at 164 W University Pkwy, Jackson, TN 38305. The listed phone number is (731) 215-1135.

What is Recovery Specialists Of Mid South, LLC's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Does Recovery Specialists Of Mid South, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2090872) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Recovery Specialists Of Mid South, LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.