NPIMap

Organization Active NPI

SBH-Kingsport

Doing business as Creekside Behavioral Health

  • Psychiatric Hospital
  • Kingsport, TN
National Provider Identifier
1174038749
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SBH-KINGSPORT
Doing business as
Creekside Behavioral Health
Practice address
1025 Executive Park Blvd
Kingsport, TN 37660
Phone
(901) 969-3100
NPI assigned
Dec 5, 2017
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
James Steve Hinkle
Title
General Counsel & Secretary
Phone
(615) 637-7218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1025 Executive Park Blvd
Kingsport, TN 37660

Mailing address

501 Corporate Centre Dr Ste 600
Franklin, TN 37067-2784
Phone (615) 637-7218

Other practice location 1

1905 American Way Ste 1002
Kingsport, TN 37660-5882
Phone (888) 252-2154

Other names 1

  • Creekside Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180917000632 TN Part A Provider - Hospital 8325399256 1 other NPI on this enrollment
Practice locations: Kingsport, TN; Knoxville, TN
O20190725001314 TN Part B Supplier - Clinic/Group Practice 8325399256 Receives reassigned benefits from 31 practitioners
Practice locations: Kingsport, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174038749. Details of each certification follow.

Hospital certification: CCN 444027

Legal name
SBH-KINGSPORT
Doing business as
CREEKSIDE BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 2, 2019
Last certification
Feb 2, 2019
Beds
72
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1025 Executive Park Blvd
Kingsport, TN 37660-4620
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Creekside Behavioral HealthCCN 444027 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
44D2154371SBH-Kingsport, LLC1025 Executive Blvd, Kingsport, TN 37660Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory
Tax ID family
SBH-Kingsport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 Executive Park Blvd
Kingsport, TN 37660
Phone (423) 765-0777

1905 American Way
Ste 1002
Kingsport, TN 37660
Phone (423) 830-8110

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Steve Hinkle Individual Corporate OfficerGeneral Counsel and Secretary Mar 13, 2026 100%
Summit Behavioral Holdings I LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Dec 31, 2021 100%
Brian Walton Individual Corporate OfficerChief Operating Officer Mar 3, 2026 100%
Operational/Managerial ControlChief Operating Officer Mar 3, 2026 100%
Summit Behavioral Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2021 100%
Summit Behavioral Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2021 100%
Sperry Holdco LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 3, 2025 100%
SBHC Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2021 100%
PSC Sperry Buyer LLC Organization, Menlo Park, CA LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2021 95.76%

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Garner Behavioral Hospital, LLC

    dba Raleigh Oaks Behavioral Health

    • Psychiatric Hospital
    • Garner, NC
    • NPI 1588319503

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH Colorado LLC

    dba Peak View Behavioral Health

    • Psychiatric Hospital
    • Colorado Springs, CO
    • NPI 1659524486

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH El Paso, LLC

    dba Peak Behavioral Health

    • Psychiatric Hospital
    • Santa Teresa, NM
    • NPI 1053652438

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH-Davenport, LLC

    dba Eagle View Behavioral Health

    • Psychiatric Hospital
    • Bettendorf, IA
    • NPI 1831720556

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH-Green Bay LLC

    dba Willow Creek Behavioral Health

    • Psychiatric Hospital
    • Green Bay, WI
    • NPI 1922556778

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH-Madison LLC

    dba Miramont Behavioral Health

    • Psychiatric Hospital
    • Middleton, WI
    • NPI 1003413816

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • SBH-Wilmington LLC

    dba Carolina Dunes Behavioral Health

    • Psychiatric Hospital
    • Leland, NC
    • NPI 1639357429

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • Strategic BH-Brownsville LLC

    dba Palms Behavioral Health

    • Psychiatric Hospital
    • Harlingen, TX
    • NPI 1154782548

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • Summit BHC West Virginia LLC

    dba Highland Hospital

    • Psychiatric Hospital
    • Charleston, WV
    • NPI 1427672336

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership
  • The Pavilion at Williamsburg Place, Inc.

    dba The Pavilion at Williamsburg Place

    • Psychiatric Hospital
    • Williamsburg, VA
    • NPI 1427326289

    PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1174038749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672784",
            "telephone_number": "615-637-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EXECUTIVE PARK BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "901-969-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 American Way Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605882",
            "country_code": "US",
            "telephone_number": "888-252-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SBH-KINGSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "615-637-7218"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.