Parkwest Medical Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Maryville, TN
NPI 1699757609 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1699757609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PARKWEST MEDICAL CENTER
- Practice address
- 210 Simmons St
Maryville, TN 37801-4750 - Phone
- (865) 970-9800
- Fax
- (865) 380-1461
- NPI assigned
- Nov 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John T Geppi
- Title
- Executive Vice President Cfo
- Phone
- (865) 374-6872
Corporate family (same tax ID) 10
Practitioners 42
-
Marie C Bly, LCSW
-
Rebecca Leann Brewer, LCSW
-
Nancy Blaylock Citty, LCSW
-
Kevin Scott Corum, LCSW
-
Bertha V David, MD
-
Laura G Dimatteo, LCSW
-
Gladys Farmer, BS
-
Shawn Raymond Foster, LPN
-
Ashley Hall, BA
-
Ana Hume, LPC
-
Justinas Joksas, BA
-
Tracy Kizer, BSW
-
Cynthia Ann Lightle, LCSW
-
Jonathan McCollum, LCSW
-
Joy E Murphey, LCSW
-
Rebecca A Nichols, LCSW
-
Darraugh Nolan, BSW
-
Amy L Peeler, LCSW
National Provider Directory
- Tax ID family
- Ft Sanders Parkwest Hos
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | TN | Yes | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | TN |
Addresses
Primary practice location
210 Simmons St
Maryville, TN 37801-4750
Mailing address
PO Box 1999
Louisville, TN 37777-1999
Phone (865) 970-1295
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440173 | Medicaid | TN |
Other names
- Peninsula Outpatient Center
Other providers in Maryville, TN
- Pain and Health Solutions, Inc.
- Liz Sage Palmer
- Janet T. Parker
- Rebecca Parker
- Michael Collier Parkinson
- Jacob N Parsons-Wells
- Graham Scott Paschall
- Lauren Christine Passarello
- Ray K Pate Sr.
- Avani Patel
All providers in Maryville, TN · Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.