Organization Active NPI

Watauga Recovery Center Greeneville

  • Addiction Medicine (Family Medicine) Physician
  • Greeneville, TN
National Provider Identifier
1619409489
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
41263 Issued in TN
Legal business name
WATAUGA RECOVERY CENTER GREENEVILLE
Practice address
819 W Church Street
Greeneville, TN 37745
Phone
(423) 823-5550
Fax
(423) 823-9724
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. Ralph T Reach, M.D.
Title
President
Phone
(423) 823-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X 41263 TN Primary

Addresses

Primary practice location

819 W Church Street
Greeneville, TN 37745

Mailing address

819 W Church St
Greeneville, TN 37745-3259
Phone (423) 823-5550

National Provider Directory

National Provider Directory

Locations

819 W Church St
Greeneville, TN 37745
Phone (423) 823-5550

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1619409489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453259",
            "telephone_number": "423-823-5550",
            "fax_number": "423-823-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W CHURCH STREET",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-823-5550",
            "fax_number": "423-823-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA RECOVERY CENTER GREENEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "REACH",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-823-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "41263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.