BLUEBIRD RECOVERY LLC – NPI #1730892837
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

BLUEBIRD RECOVERY LLC is a provider located in TULLAHOMA, TN. NPPES has assigned the NPI number 1730892837 to BLUEBIRD RECOVERY LLC on January 04, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Sep 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEBIRD RECOVERY LLC below.

NPI Profile for
BLUEBIRD RECOVERY LLC

NPI Number
1730892837
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUEBIRD RECOVERY LLC
Primary location
127 LEDFORD MILL RD STE B
TULLAHOMA, TN 37388-2278
Phone: (931) 841-3311 Fax: (931) 841-3314
2 Other location(s):
4140 Thornton Taylor Pkwy Ste D
Fayetteville, TN 37334-2290
Phone: (931) 434-8109
161 Mose Dr
Sparta, TN 38583-1502
Phone: (931) 222-0139
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHASITY TANKERSLEY
OFFICE MANAGER
Phone: (931) 841-3311
Updated
Certification Date
Sep 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
324500000X
- Substance Abuse Rehabilitation Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.