MEDICARE: REFLECTION HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1427904333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTION HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	150 E BROADWAY
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-2329
Country	:	US
Telephone Number	:	423-237-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 E BROADWAY
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-2329
Country	:	US
Telephone Number	:	423-237-6900
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. CANDI C OVERHOLT
Credential	:	MD
Telephone Number	:	423-237-4597

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/06/2026

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