WATAUGA RECOVERY CENTER (NPI# 1336483262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336483262 |
| Entity Type | Organization |
| Organization Name | WATAUGA RECOVERY CENTER |
| Practice Address |
3114 Browns Mill Rd Johnson City TN 37604 |
| Mailing Address |
3114 Browns Mill Rd Johnson City TN 37604-1417 |
| Practice Telephone | 4236310432 |
| Mailing Telephone | 4236310432 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. RALPH THOMAS REACH (PRESIDENT) |
| Authorized Official Telephone | 4236310432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
41263 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3114 BROWNS MILL RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538589 | Dale E. Whitson | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2005-06-15 |
| 1154971810 | Melissa Shiloh Taylor | Social Worker | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2019-09-16 |
| 1629450457 | Michael Todd Wilkerson | Nurse Practitioner | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2015-06-29 |
| 1487992939 | Vista Recovery Systems, Inc | Community/Behavioral Health | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2013-01-17 |
| 1356699433 | Martin Phan Eason | Anesthesiology | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2012-08-21 |
| 1689964322 | Highland Springs Medical PC | Chiropractor | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2011-04-14 |
| 1689905069 | Priscillia L Lynch | Registered Nurse | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2010-01-25 |
| 1801998810 | Ralph Thomas Reach | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2006-09-01 |
| 1801862313 | Matthew Shawn Thomas | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2006-02-24 |
| 1508861774 | Richard K Mcdavid | Family Medicine | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2005-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336636158 | Foundation Medical, Inc. | Family Medicine | 1730 Old Gray Station Rd, Johnson City, TN 37615-3869 | 2018-04-17 |
| 1912418435 | Sunrise Medical Associates Inc. | Family Medicine | 9 Worth Cir Ste 100, Johnson City, TN 37601-4358 | 2017-10-24 |
| 1831640937 | Watauga Recovery Center Morristown P.C. | Family Medicine | 1369 W Andrew Johnson Hwy, Johnson City, TN 37604 | 2016-10-24 |
| 1336330596 | Matthew John Caffrey | Family Medicine | 102 N Broadway St, Johnson City, TN 37601-3525 | 2007-08-05 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508765 | Pw-hospital Bridge Services, LLC | Family Medicine | 801 Hill St Ste A, Springfield, TN 37172-2951 | 2020-08-13 |
| 1285268243 | Alpha Medical Center, LLC | Family Medicine | 1421 W Baddour Pkwy Ste A, Lebanon, TN 37087-2652 | 2020-02-28 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1518425941 | Hamm, Blackstock & Stern, Pllc | Family Medicine | 2135 Dalkeith Dr, Germantown, TN 38139-3407 | 2019-03-05 |
| 1770080632 | East Tennessee Addiction Specialists | Family Medicine | 2022 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2018-04-09 |
| 1851810774 | Physician Hope and Wellness Center | Family Medicine | 1915c Church St, Nashville, TN 37203-2203 | 2017-09-12 |
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1568913663 | Watauga Recovery Center Newport PC | Family Medicine | 330 Heritage Blvd, Newport, TN 37821-4257 | 2016-10-24 |
| 1861949547 | Roger P. Sherman, M.d., P.l.l.c. | Family Medicine | 211 Donelson Pike Ste 102, Nashville, TN 37214 | 2016-09-09 |
| 1740639962 | Jabbok Treatment Center, LLC. | Family Medicine | 40 Irwin St, Savannah, TN 38372-3084 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.