Zachary Charles Talbott, LADAC, LMSW, MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1413 Issued in TN

Practice address

1821 W Broadway Ave
Maryville, TN 37801-5511

Phone

(865) 964-5748

NPI assigned

Nov 22, 2016

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Patricia Hall Talbott Legacy Centers, LLC

  dba Talbott Legacy Centers

  • Clinic/Center
  • Maryville, TN
  • NPI 1649897802
  NPD Authorized official
• Gateway Treatment Centers, LLC

  • Clinic/Center
  • Ellijay, GA
  • NPI 1194459883
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1083157085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6375",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378026375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015511",
            "telephone_number": "865-964-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Kiker St",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "305403758",
            "country_code": "US",
            "telephone_number": "706-703-2517",
            "fax_number": "706-273-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOTT",
        "first_name": "ZACHARY",
        "middle_name": "CHARLES",
        "credential": "LADAC, LMSW, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0312",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1413",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "12713",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Specialists of Tennessee, PLC
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• Cassaundra Sutton, CCC-SLP
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• Erin Rhea Talbott, WHNP
• Savannah S Tallent, FNP-C
• Katherine Jeanne Talmont, RDMS, RT(R)(CT)
• Hiediliza Y Tan, M.D.
• Amy Tankersley
• Lloyd Alton Tantum, O.D.

• Addiction (Substance Use Disorder) Counselor in Maryville, TN
• Providers in Maryville, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.