NPIMap

Organization Active NPI

Parkwest Medical Center

Doing business as Peninsula Outpatient Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sevierville, TN
National Provider Identifier
1508848516
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
L 214-076-1470 Issued in TN
Legal business name
PARKWEST MEDICAL CENTER
Doing business as
Peninsula Outpatient Center
Practice address
124 N Henderson Ave
Sevierville, TN 37862
Phone
(865) 970-9800
Fax
(865) 380-1461
NPI assigned
Nov 16, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. John T Geppi
Title
Executive Vice President Cfo
Phone
(865) 374-6872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X L 214-076-1470 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X L 214-076-1470 TN Primary

Addresses

Primary practice location

124 N Henderson Ave
Sevierville, TN 37862

Mailing address

PO Box 1999
Louisville, TN 37777
Phone (865) 970-1295

Other identifiers 1

IdentifierTypeStateIssuer
0440173MedicaidTN

Other names 1

  • Peninsula Outpatient Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
O H Oliveria PHD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

124 N Henderson Ave
Sevierville, TN 37862
Phone (865) 374-7100

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508848516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1999",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "37777",
            "telephone_number": "865-970-1295",
            "fax_number": "865-380-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N HENDERSON AVE",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-970-9800",
            "fax_number": "865-380-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GEPPI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "865-374-6872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "L 214-076-1470",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "L 214-076-1470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440173",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.