Active NPI
Wilkes Recovery Revolution, Inc.
- Community/Behavioral Health Agency
- North Wilkesboro, NC
National Provider Identifier
1437912896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WILKES RECOVERY REVOLUTION, INC.
- Practice address
- 240 Jefferson St
North Wilkesboro, NC 28659-3537 - Phone
- (336) 818-1909
- NPI assigned
- Jan 30, 2024
- Last updated
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin A Lyall
- Title
- Executive Director/Ceo
- Phone
- (336) 818-1909
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | ||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
240 Jefferson St
North Wilkesboro, NC 28659-3537
Mailing address
PO Box 893
North Wilkesboro, NC 28659-0893
Phone (336) 818-1909
Other practice location 1
2500 Pleasant Ridge Road
State Road, NC 28676
Phone (336) 818-1909 ext. 161
Other practice location 2
230 Jefferson St
North Wilkesboro, NC 28659-3537
Phone (336) 818-1909 ext. 161
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1437912896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 893",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286590893",
"telephone_number": "336-818-1909",
"fax_number": "336-217-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 JEFFERSON ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593537",
"telephone_number": "336-818-1909"
}
],
"practiceLocations": [
{
"address_1": "2500 Pleasant Ridge Road",
"address_purpose": "LOCATION",
"city": "State Road",
"state": "NC",
"postal_code": "28676",
"country_code": "US",
"telephone_number": "336-818-1909 x161",
"fax_number": "336-818-5640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 Jefferson St",
"address_purpose": "LOCATION",
"city": "North Wilkesboro",
"state": "NC",
"postal_code": "286593537",
"country_code": "US",
"telephone_number": "336-818-1909 x161",
"fax_number": "336-818-5640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILKES RECOVERY REVOLUTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "LYALL",
"authorized_official_first_name": "DEVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "336-818-1909"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
- Wilkes Physician Network, Inc. (Greenway Healthcare)
- Wilkes Physician Network, Inc. (Wilkes Adult and Pediatric Medicine)
- Wilkes Physician Network, Inc. (Northwest Carolina Women's Center)
- Wilkes Physician Network, Inc. (Rock Creek Family Medicine and Urgent Care)
- Wilkes Physician Network, Inc.,
- Wilkes Regional Physicians, Inc. (Wilkes Surgical Specialists)
- Wilkes Traditional Living
- Wilkes Vocational Services, Inc.
- Wilkesboro Amy Kinlaw PLLC (Kinlaw & Absher Dentistry for Kids)
- Wilkesboro Assisted Living Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.