NPIMap

Organization Active NPI

Parkwest Medical Center

Doing business as Peninsula Outpatient Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lenoir City, TN
National Provider Identifier
1922080936
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 214-076-1468 Issued in TN
Legal business name
PARKWEST MEDICAL CENTER
Doing business as
Peninsula Outpatient Center
Practice address
423 Medical Park Dr
Lenoir City, TN 37772-5640
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 214-076-1468 TN
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X L 214-076-1468 TN Primary

Addresses

Primary practice location

423 Medical Park Dr
Lenoir City, TN 37772-5640

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.

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": "1922080936",
    "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": "423 MEDICAL PARK DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725640",
            "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 214-076-1468",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TN",
            "license": "L 214-076-1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, 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.