John Gregory Kupfner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

46026 Issued in TN

Practice address

3889 Wonderland LN
Sevierville, TN 37862-8288

Phone

(865) 366-7812

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Center for Behavioral Medicine LLCGroup PAC ID 0244624195, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knoxville Center for Behavioral Medicine LLC

  • Psychiatric Hospital
  • Knoxville, TN
  • NPI 1710640776
  Medicare reassignment Care Compare group NPD
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Medicare reassignment NPD
• Path Recovery LLC

  • Adult Mental Health Clinic/Center
  • Madison, TN
  • NPI 1922833565
  Medicare reassignment NPD
• Parkwest Medical Center

  • Psychiatric Hospital Unit
  • Knoxville, TN
  • NPI 1851369243
  NPD
• Renaissance Healthcare Group

  dba Pasadena Villa Smoky Mountain Lodge

  • Psychiatric Residential Treatment Facility
  • Sevierville, TN
  • NPI 1073753059
  NPD (past)
• The Cornerstone of Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Louisville, TN
  • NPI 1558479758
  NPD (past)
• Village Behavioral Health, LLC

  dba Village Behavioral Health

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Louisville, TN
  • NPI 1598998619
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1285832964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 STONE HENGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223447",
            "telephone_number": "865-258-6134",
            "fax_number": "865-258-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 WONDERLAND LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378628288",
            "telephone_number": "865-366-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Dowell Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092441",
            "country_code": "US",
            "telephone_number": "865-970-9800",
            "fax_number": "865-374-7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPFNER",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301512391",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101241464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "46026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521350",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kroger Limited Partnership I (Kroger Pharmacy)
• L&S Caring Carriers
• Abigail Lane
• Jennifer Lane, FNP-C
• Lori Lane, OT/L, AIB-VRC
• Dana Laney, FNP-BC

• Psychiatry Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.