NPIMap

Organization Active NPI

Restoration Recovery, PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1770011652
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
RESTORATION RECOVERY, PLLC
Practice address
6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663
Phone
(423) 498-2000
Fax
(423) 498-2001
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Michelle Paolucci
Title
Facility Director
Phone
(423) 498-2005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083A0300X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663

Mailing address

6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663
Phone (423) 498-2000

Other practice location 1

1500 Dug Gap Rd
Dalton, GA 30720-5009
Phone (423) 498-2000

Other practice location 2

2130 Chambliss Ave NW
Cleveland, TN 37311-3839
Phone (423) 498-2000

Other identifiers 2

IdentifierTypeStateIssuer
003147609AMedicaidGA
Q028699MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171010000530 TN Part B Supplier - Clinic/Group Practice 2961777446 Receives reassigned benefits from 13 practitioners
Practice locations: Chattanooga, TN; Cleveland, TN
O20200929000932 GA Part B Supplier - Clinic/Group Practice 2961777446 Receives reassigned benefits from 3 practitioners
Practice locations: Ringgold, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2141689Restoration Recovery, PLLC6141 Shallowford Road #100, Chattanooga, TN 37421Certificate of waiverNov 23, 2026
44D2222255Restoration Recovery Cleveland2130 Chambliss Avenue NW, Cleveland, TN 37311Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

1500 Dug Gap Rd
Dalton, GA 30720
Phone (423) 498-2000

4964 Battlefield Pkwy
Ste C
Ringgold, GA 30736
Phone (423) 498-2000

4962 Battlefield Pkwy
Ringgold, GA 30736
Phone (423) 498-2000

6925 Shallowford Rd
Ste 308
Chattanooga, TN 37421
Phone (423) 498-2000

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6141 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 498-2000

2640 Ralph Buckner Blvd NE
Cleveland, TN 37311

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1770011652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211663",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211663",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Dug Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307205009",
            "country_code": "US",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113839",
            "country_code": "US",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "423-498-2005"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147609A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028699",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.