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APPLACHIAN RECOVERY CARE, PLLC
NPI 1497232540
Internal Medicine - Addiction Medicine in Bristol, TN

Active since July 22, 2018CLIA 44D2023039 · Waiver
2726 W STATE ST, BRISTOL, TN 37620(423) 758-6744 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2020, Jul 22, 2018 (2 updates tracked since 2018).

About Applachian Recovery Care, Pllc NPPES

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

APPLACHIAN RECOVERY CARE, PLLC (NPI 1497232540) is a healthcare organization registered as an addiction medicine in Bristol, Tennessee and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Judy Henegar, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1497232540
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameAPPLACHIAN RECOVERY CARE, PLLC
Location Address2726 W STATE STBristol, TN 37620-1827
Mailing Address2726 W State StBristol, TN 37620-1827 · (423) 758-6744
Phone(423) 758-6744
Organization SubpartNo
Authorized OfficialJudy HenegarCredentialing · (423) 341-2570
Enumeration DateJuly 22, 2018
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1497232540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
2726 W STATE ST, Bristol, TN 37620
Open in Google Maps ↗

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 44D2023039

Appalachian Recovery Care, PLLC · Bristol, TN
Active · expires Apr 13, 2027
CLIA Number44D2023039
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorJoseph S. Radawi
Laboratory Phone(423) 758-6744
Laboratory LocationAppalachian Recovery Care, PLLC2726 West State St, Bristol, TN 37620
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDEN CEDRIC FERNANDO, MC, PLLC
Family Medicine (Addiction Medicine)
2726 W STATE ST
BRISTOL, TN 37620
Sullivan County (423) 758-6744
JOHN ROBERT BARROWCLOUGH, MD, PLLC
Internal Medicine (Addiction Medicine)
2726 W STATE ST
BRISTOL, TN 37620
Sullivan County (423) 758-6744

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 Applachian Recovery Care, PLLC's NPI number?

The NPI number for Applachian Recovery Care, PLLC is 1497232540. It was assigned to this organization in the NPPES registry on July 22, 2018.

Where is Applachian Recovery Care, PLLC located?

Applachian Recovery Care, PLLC is located at 2726 W State St, Bristol, TN 37620. The listed phone number is (423) 758-6744.

What is Applachian Recovery Care, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Applachian Recovery Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2023039) is associated with this NPI, valid through April 13, 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 Applachian Recovery Care, PLLC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.