DOCTORS ASSISTED WELLNESS AND RECOVERY, PLLC
NPI 1902762628
Psychiatry & Neurology - Addiction Medicine in Johnson City, TN

NPI Status: Active since December 26, 2025

Contact Information

2406 SUSANNAH ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-1393
Fax: (888) 204-4075

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  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine
  • CLIA Number: 44D2128526
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-30-2027

About DOCTORS ASSISTED WELLNESS AND RECOVERY, PLLC

This page provides the complete NPI Profile along with additional information for Doctors Assisted Wellness And Recovery, Pllc, a provider established in Johnson City, Tennessee operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1902762628 assigned on December 2025. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated December 2025. Doctors Assisted Wellness And Recovery, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joy Tino (Ceo)

NPI
1902762628
Provider Name
DOCTORS ASSISTED WELLNESS AND RECOVERY, PLLC
Entity Type
Organization
Location Address
2406 SUSANNAH ST JOHNSON CITY, TN 37601
Location Phone
(423) 928-1393
Location Fax
(888) 204-4075
Mailing Address
2406 SUSANNAH ST JOHNSON CITY, TN 37601
Mailing Phone
(423) 928-1393
Mailing Fax
(888) 204-4075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2025
Last Update Date
12-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOY TINO

Authorized Official Title
CEO
Authorized Official Phone
(423) 928-1393

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2128526
Facility Type
Physician Office
Certificate Effective Date
March 31, 2025
Certificate Expiration Date
March 30, 2027
Laboratory Director
TRACY GOEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Doctors Assisted Wellness And Recovery, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902762628, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 4 + 6 + 4 + 6 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1902762628.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
2406 SUSANNAH ST, LOWER LEVEL
JOHNSON CITY, TN 37601
Family Medicine
2406 SUSANNAH ST
JOHNSON CITY, TN 37601
General Practice
2406 SUSANNAH ST
JOHNSON CITY, TN 37601
Internal Medicine (Addiction Medicine)
2406 SUSANNAH ST
JOHNSON CITY, TN 37601
Prosthetist
2406 SUSANNAH ST, LOWER LEVEL
JOHNSON CITY, TN 37601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902762628, enumerated as an "organization" on December 26, 2025.

The provider is located at 2406 SUSANNAH ST JOHNSON CITY, TN 37601 and the phone number is (423) 928-1393.

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.