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Near Decatur, TN · Meigs County seat

Addiction Treatment Near Decatur, TN

For the roughly 1,500 residents of Decatur — the Meigs County seat on the east bank of the Tennessee River — outpatient Suboxone treatment is available at our Cleveland and Soddy-Daisy clinics. Same-week appointments, daily Suboxone at either clinic with Sublocade, Brixadi, and Vivitrol injections at our Cleveland location (Soddy-Daisy is oral-only), TennCare plus most commercial insurance accepted. After your first in-person visit, telehealth follow-ups are available.

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The Decatur Picture

What recovery looks like from a river-valley county seat

Decatur is a small town, and it is also one of the most geographically isolated in the region. The town sits on the east bank of the Tennessee River, with the Watts Bar Lake shoreline on one side and the rolling ridges of Meigs County on the other. The courthouse square, the high school, the small handful of restaurants along TN-58, and a couple of grocery and dollar-store options are essentially the whole in-town footprint. Population runs just under 1,500. There is no urgent care, no hospital, no addiction medicine provider in the city limits. The nearest outpatient MAT (medication-assisted treatment) provider is a long drive in two possible directions, and for a lot of people in Meigs County, that drive is what keeps them from starting treatment at all.

In Decatur and the broader Meigs County footprint, opioid dependence reaches TVA contractors working around Watts Bar, Decatur Utility employees, teachers and classroom aides at the county schools, farm hands working the row-crop and cattle operations up and down TN-58, delivery drivers running the US-11 corridor, and retirees who moved to the waterfront for the lake and ended up dependent on a post-surgery prescription they expected to be short-term. The story is often the same: the prescription ended, the physical dependence did not, and the nearest recovery resource was too far to casually try. The first in-person visit from Decatur to Cleveland is the hardest part of the whole model; after that, most follow-ups are telehealth visits you do from home.

Fentanyl share of TN overdose deaths

Percent of annual overdose deaths, 2021 – 2023

67% 2021
72% 2022
77% 2023 ↑ 10 pts vs 2021

Source: Tennessee Department of Health, 2023 Drug Overdose Death Report.

East TN share of statewide overdose deaths

Regional share of TN total, 2022 reporting

43% East TN highest of 3 regions
~61 Rx / 100
SE HIA Meigs

Sources: TN Dept of Health (regional death share); TN Dept of Health / CDC (opioid Rx rate per 100 people, 2022); TN Dept of Health ORCO Southeast High Impact Area designation (Meigs County included).

Why these numbers matter for a small Tennessee River town

Fentanyl now drives more than three-quarters of the drug deaths in Tennessee. In 2023 it was involved in 77 percent of the state's overdose fatalities, up from two-thirds just two years earlier. In a county of Meigs's size, even a handful of deaths in a year is a community-wide story; the statewide trajectory is the headwind every family in Decatur is actually facing, whether the deaths show up in the courthouse ledger or not. When we talk with Decatur patients about switching from pills or from an illicit supply to a prescribed Suboxone or long-acting buprenorphine injection, the real conversation is about getting out of the fentanyl lottery before the math catches up.

The second panel tells the regional story. East Tennessee reported 43 percent of the state's overdose deaths in 2022, the highest share of the three grand divisions, and the state's opioid prescribing rate ran above 61 prescriptions per 100 people that same year — well above the national average. Meigs County sits squarely inside the Tennessee Department of Health's Southeast High Impact Area (SE HIA) designation alongside Bradley, McMinn, Polk, Rhea, and eight other counties, which is essentially the state's way of saying: we already know this corridor is bearing more than its share. What it also means is that experienced MAT care is within reach without a drive to Knoxville or Nashville.

If you or someone in your household has had a near-miss overdose in the last twelve months, or if a friend or family member has been revived with naloxone, that is a clinical indication, not a disqualifier. We can usually get a Decatur patient in within the same week, and you leave the first visit with a Suboxone prescription. Your provider explains when to take your first dose at home.

Nearest Location

Cleveland Clinic

Address2130 Chambliss Avenue NW
Cleveland, TN 37311
HoursTuesday & Thursday · 9:00 am – 4:30 pm
Fax423-498-2001
Restoration Recovery Cleveland clinic near Decatur, TN
Also Accessible

Soddy-Daisy Clinic

Address210 Walmart Drive, Suite 100
Soddy-Daisy, TN 37379
HoursMonday & Wednesday · 9:00 am – 4:30 pm
Fax423-498-2001
Restoration Recovery Soddy-Daisy clinic

How Treatment Works

Restoration Recovery provides outpatient addiction treatment — no residential stay, no detox facility. You visit our Cleveland or Soddy-Daisy clinic for appointments and go home the same day. Follow-up visits step down from weekly to every two weeks to monthly.

Your first visit typically takes 2 to 3 hours and follows a four-step flow: intake (DSM-5 assessment + COWS score for opioid use disorder), counseling, a doctor evaluation, and a same-day Suboxone prescription (Sublocade and Brixadi injections are ordered per-patient and administered at a follow-up visit at our Cleveland or Chattanooga clinic, since Soddy-Daisy is oral-only). Follow-up visits are shorter and, for Decatur patients, can almost always be done via telehealth from home. The telehealth piece is the reason the distance works.

What We Treat

We provide evidence-based treatment for addiction to opioids and opioid-like substances including heroin, fentanyl, oxycodone (OxyContin, Percocet), hydrocodone (Vicodin, Norco), morphine, codeine, tramadol, and prescription painkillers.

We also treat alcohol use disorder, stimulant dependence (cocaine, methamphetamine, Adderall, Ritalin, Vyvanse), benzodiazepine dependence (Xanax, Klonopin, Ativan, Valium), cannabis use disorder, and co-occurring mental health conditions including anxiety, depression, and trauma. Our Chattanooga clinic treats anxiety, depression, and trauma with or without addiction treatment. The first visit for that care is in person there; after that, visits can be by telehealth.

Kratom & 7-Hydroxymitragynine (7-OH) Addiction

Kratom and its concentrated derivative 7-OH are increasingly available and can cause opioid-like physical dependence with severe withdrawal symptoms. Our providers have experience treating kratom and 7-OH dependence with MAT and clinical support tailored to its distinct withdrawal profile. If you are struggling with kratom or 7-OH products, we can help.

Medications We Prescribe

  • Suboxone (buprenorphine/naloxone) — daily film or tablet for opioid use disorder. Reduces cravings and prevents withdrawal so you can function normally.
  • Sublocade (extended-release buprenorphine) — once-monthly injection, given at our Cleveland or Chattanooga clinic, for patients who prefer not to take daily medication. No pills, no films, no daily decisions.
  • Brixadi (extended-release buprenorphine) — weekly or monthly injection for opioid use disorder, given at our Cleveland or Chattanooga clinic. Flexible dosing intervals for patients who want a shorter cadence than monthly, or who are still titrating to a maintenance dose.
  • Vivitrol (naltrexone) — once-monthly injection for alcohol use disorder, given at our Cleveland or Chattanooga clinic. Blocks the reward pathway that drives compulsive drinking.
  • Oral medications for alcohol use disorder — acamprosate, naltrexone, and disulfiram — are also prescribed as daily alternatives to the monthly Vivitrol injection.

Insurance & Cost

We accept most major insurance plans including TennCare, Medicaid, BlueCross BlueShield, Cigna, Aetna, Ambetter, and United Healthcare. What you pay depends on your plan. Verify your coverage or call 423-498-2000 before your first visit.

Why Choose Restoration Recovery

  • CARF accredited (Commission on Accreditation of Rehabilitation Facilities)
  • Licensed in Tennessee and Georgia
  • HIPAA and 42 CFR Part 2 compliant — your treatment is confidential
  • Experienced MAT providers
  • Four clinic locations with same-week appointments
  • Telehealth available for follow-up care from home
  • Integrated hepatitis C treatment for enrolled patients
Why Decatur residents come to us

Starting treatment from Meigs County

The distance problem is real, and telehealth solves most of it

A long one-way trip for a medical appointment is a real barrier in a small town. Gas, the time off work, a babysitter for younger kids, the shift you will miss if the clinic runs long: those all compound. The reason our model works from this far out is that if you take a daily oral medication, we only need you in a clinic chair once, for the initial intake and DSM-5 evaluation, unless your provider asks to see you. After that, follow-ups can be by video from a phone, a tablet, or a laptop on a kitchen table, a back porch, or a parked truck during a lunch break. The only appointments that have to happen in person after intake are the long-acting injections (Sublocade and Vivitrol every four weeks, Brixadi weekly or monthly) and any visit your provider asks to have in person. If you choose daily Suboxone film or tablets instead, your follow-ups can all be remote unless your provider asks to see you.

The post-surgery and post-injury pain patient

Meigs County runs on physical work: farming, construction, trades, TVA and utility contracting, truck driving, river-industry support jobs around Watts Bar. Add the knees, backs, and shoulders that come with that work, plus the fall-related injuries from the older farmhouses and river-cabin stock, and you get a big population of people in their 40s, 50s, and 60s who had legitimate prescriptions for oxycodone, hydrocodone, or Percocet after a surgery or a workplace injury. When the prescription ended, the physical dependence did not. Buprenorphine at the right dose takes care of the withdrawal and the craving and lets the underlying pain conversation resume with your original provider.

The "I want to go back to hunting, fishing, and living on the river" patient

You may want to be clear-headed enough to be on the boat before dawn, to sit in a deer stand for three hours without counting down to the next pill, or to take grandkids out on Watts Bar without having to time a dose to match the boat ramp. MAT is specifically designed to let you do normal Tennessee life without the daily background noise of craving or withdrawal. Clinically we call that stable, functional recovery; in plain terms, your weekends are your own again.

The "everybody knows everybody" privacy concern

Decatur is a small town. Your mail carrier probably knows your truck. Your pharmacist might have been in your graduating class. Our clinics in Cleveland and Soddy-Daisy are in different counties entirely — far enough that the odds of running into a neighbor are effectively zero. Your entire chart is covered by HIPAA and 42 CFR Part 2, the strictest federal privacy standard for substance use treatment; nothing in your record can be released to an employer, a family member, or another provider without your written consent, except in limited cases the law allows, such as a medical emergency or a court order.

The family member who overdosed and lived

Meigs County EMS and neighboring county responders carry naloxone. The 24 to 72 hours after a reversal are the single most important window we ever work in — the person is awake and usually scared enough to want a different outcome. We do not require a period of abstinence before you come in, we do not require that you have tried anything else first, and we can usually get you or your family member seen within the same week.

Telehealth for the river-and-road crowd

For patients who already spend a lot of their weeks on the water, in a tractor, or driving routes across East Tennessee, telehealth follow-ups help: after the first in-person visit, some follow-ups can happen by video from wherever you are. Long-acting injections happen in person at our Cleveland clinic (easy to pair with a grocery run in that direction), along with any visit your provider asks you to come in for.

Frequently Asked Questions

I live in Decatur and can only realistically drive in once. Can the rest be telehealth?

Yes, if you take an oral medication, unless your provider asks to see you. Your first visit is always in person; after that, follow-ups can be by HIPAA-compliant telehealth from home. The only appointments that must be in person after intake are the long-acting injections (Sublocade and Vivitrol every four weeks, Brixadi weekly or monthly) and any visit your provider asks you to come in for. Call 423-498-2000 and we can walk through what your month would actually look like.

Decatur is small. I am worried about someone I know seeing me at the clinic.

Your visits happen in Cleveland or Soddy-Daisy, in counties where you probably do not spend much time. HIPAA and 42 CFR Part 2 cover your entire chart — no employer, family member, or outside provider sees anything without your written consent, except in limited cases the law allows, such as a medical emergency or a court order.

I do not have a Meigs County primary care doctor. Can I still be treated?

Yes. You do not need an existing PCP to start MAT with us. Our providers can handle the initial workup, bloodwork, and the ongoing medication management for opioid or alcohol use disorder without a referral, and we are set up to coordinate with whatever primary care provider you do see (in Cleveland, Athens, Chattanooga, or elsewhere) if you want us to. For patients who do not currently have primary care at all, we can point you toward low-cost PCP options in the area after you are stable on medication.

I have a Narcan reversal on my record — will that affect my care or insurance?

No. A prior overdose reversal is not a disqualifier, a red flag, or something your insurance will hold against you for MAT coverage. In fact, it is one of the clearest clinical indications for starting Suboxone or a long-acting buprenorphine injection. Your records are protected by HIPAA and 42 CFR Part 2, which means no employer, family member, or outside provider sees anything without your written consent, except in limited cases the law allows, such as a medical emergency or a court order.

How quickly can I start treatment?

Most Meigs County patients are seen within the same week. Call 423-498-2000 or request an appointment online. You leave your first visit with a Suboxone prescription and take your first dose at home (Sublocade and Brixadi injections are ordered during the first visit and administered at a follow-up visit). If you are in withdrawal or close to it when you call, we will work to get you in the same week.

Will my treatment be confidential?

Yes. All treatment at Restoration Recovery is protected by HIPAA and 42 CFR Part 2 — the strictest federal privacy standard for substance use treatment. Your records cannot be shared without your written consent, including with family members, employers, or other providers, except in limited cases the law allows, such as a medical emergency or a court order. Decatur is a small community; we take that seriously.

What insurance do you accept?

We accept TennCare, Medicaid, BlueCross BlueShield of Tennessee, Cigna, Aetna, Ambetter, United Healthcare, and most major commercial plans — including the employer coverage offered by Meigs County Schools, TVA contractors around Watts Bar, and large Cleveland- and Athens-area employers. Check your coverage here or call to verify before your first visit.

Do I need to stop using opioids before my first appointment?

You do not need to be completely off opioids before coming in. Your provider will evaluate where you are and guide you through a safe transition onto Suboxone. In most cases, you should be in early withdrawal (usually 12–24 hours since last use of short-acting opioids, longer for long-acting opioids) before your first dose — your provider will explain exactly what to expect and when to take it at home.

Can I do follow-up appointments from home?

Yes. After your initial in-person evaluation, your follow-up visits can be conducted via secure, HIPAA-compliant telehealth from your phone, tablet, or computer — the central reason our outpatient model works for a patient living in Meigs County. You only have to come in for an injection (Sublocade, Brixadi, or Vivitrol) or when your provider asks to see you.

Other Restoration Recovery Locations

In addition to our Cleveland and Soddy-Daisy clinics, Restoration Recovery operates two other outpatient locations across Tennessee and Georgia.

  • Chattanooga, TN — 6141 Shallowford Rd, Suite 100, Chattanooga, TN 37421 (Mon–Fri, 9am–4:30pm)
  • Ringgold, GA — 4962 Battlefield Pkwy, Ringgold, GA 30736 (Fri, 9am–4:30pm)

View all locations →

Resources

Also serving: Athens, Benton, Etowah, Sweetwater, Spring City, Dayton

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Same-day appointments available Tuesdays and Thursdays. Confidential from your first call.