Cedar Recovery Otp, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

CEDAR RECOVERY OTP, LLC

Practice address

4409 Chapman Hwy Ste W
Knoxville, TN 37920-4326

Phone

(615) 553-1322

Fax

(615) 549-7044

NPI assigned

Jan 15, 2025

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLCAs reported in NPPES

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

Authorized official

Name

Paul Stephen Trivette

Title

Chief Strategy Officer

Phone

(423) 914-1518

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Opioid treatment program

Medicare-enrolled since Mar 16, 2025

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Cedar Recovery of Middle Tennessee LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cedar Recovery of Middle Tennessee, LLC

  dba CedarRx

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Anne Case, RN

  • Registered Nurse
  • Knoxville, TN
  • NPI 1518753821
  NPD
• Stephen D Loyd, M.D.

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1366437253
  NPD
• Laurie Marie Street

  • Registered Nurse
  • Bristol, VA
  • NPI 1508723123
  NPD (past)
• Jamison Reid Trammell, PA-C

  • Physician Assistant
  • Bristol, VA
  • NPI 1447040571
  NPD (past)

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1598576019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-553-1322",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 CHAPMAN HWY STE W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204326",
            "telephone_number": "615-553-1322",
            "fax_number": "615-549-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Blevins Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242026021",
            "country_code": "US",
            "telephone_number": "276-285-3911",
            "fax_number": "615-549-7044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Perimeter Place Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143674",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1512 Hatcher Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384014825",
            "country_code": "US",
            "telephone_number": "931-548-8882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Burgess Falls Rd",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385065745",
            "country_code": "US",
            "telephone_number": "615-553-1322",
            "fax_number": "615-549-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR RECOVERY OTP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TRIVETTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "423-914-1518"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q100025",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018422110001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Methadone Clinic in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.