EAST TENNESSEE ADDICTION SPECIALISTS
NPI 1770080632
Clinic/Center - Rehabilitation, Substance Use Disorder in Maryville, TN
About East Tennessee Addiction Specialists NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TENNESSEE ADDICTION SPECIALISTS (NPI 1770080632) is a healthcare organization registered as a rehabilitation, substance use disorder in Maryville, Tennessee and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Clay Eugene Stalcup, Coowner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 44D2128542
East Tennessee Addiction Specialists, PLLC · Maryville, TNFrequently 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 East Tennessee Addiction Specialists's NPI number?
The NPI number for East Tennessee Addiction Specialists is 1770080632. It was assigned to this organization in the NPPES registry on April 9, 2018.
Where is East Tennessee Addiction Specialists located?
East Tennessee Addiction Specialists is located at 111 Station Dr Bldg 3, Maryville, TN 37804. The listed phone number is (865) 268-4360.
What is East Tennessee Addiction Specialists's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does East Tennessee Addiction Specialists hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2128542) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does East Tennessee Addiction Specialists accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Tennessee Addiction Specialists 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 East Tennessee Addiction Specialists was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# East Tennessee Addiction Specialists · NPI 1770080632
Rehabilitation, Substance Use Disorder organization in Maryville, Tennessee. Organization record, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1770080632 (Entity type: Organization)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Clay Stalcup, COOWNER
## Practice location
- **Address:** 111 STATION DR BLDG 3, Maryville, TN 37804-4190
- **Phone:** (865) 268-4360
## Record status
- **NPPES last updated:** January 8, 2026
- **Other identifiers:** Medicaid Q045176 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770080632) · Data from the CMS NPPES public registry.