NPIMap

Organization Active NPI

Parkwest Medical Center

Doing business as Peninsula Outpatient Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maryville, TN
National Provider Identifier
1699757609
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARKWEST MEDICAL CENTER
Doing business as
Peninsula Outpatient Center
Practice address
210 Simmons St
Maryville, TN 37801-4750
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 TN Primary
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 names 1

  • Peninsula Outpatient Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ft Sanders Parkwest Hos11 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

210 Simmons St
Maryville, TN 37801
Phone (865) 374-7100

Practitioners & affiliated clinicians

Practitioners 42

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 42

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": "1699757609",
    "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": "377771999",
            "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": "210 SIMMONS ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014750",
            "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": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, 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.