Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Tennessee Recovery, Pllc

Addiction Medicine (Internal Medicine) Physician in Johnson City, TN · enumerated 2016 · authorized official Daniel Tackling, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114462215

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name East Tennessee Recovery, Pllc

Other name <Unavail>

Practice address 2408 Susannah St Ste 1, Johnson City, TN, 37601

Phone (423) 434-6677

Fax (423) 461-0000

Enumeration date Dec 27, 2016

Last updated in NPPES Dec 16, 2025

Taxonomy & classification

207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Daniel Tackling

Title Cfo

Phone (423) 434-6677

Other identifiers

Identifier	Type	State	Issuer
2017139831	Medicaid	VA	-
7100519480	Medicaid	KY	-
Q026013	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-16. Verify at npiregistry.cms.hhs.gov.

Where is East Tennessee Recovery, Pllc located?

The practice location on file with NPPES is in Johnson City, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-16.