SOUTHLAND BEHAVIORAL HEALTH
NPI 1336596584
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since May 18, 2016
9220 PARK WEST BLVD STE 1, KNOXVILLE, TN 37923(865) 247-6754 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Feb 7, 2022, Mar 7, 2019 and 2 more (5 updates tracked since 2016).

About Southland Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAND BEHAVIORAL HEALTH (NPI 1336596584) is a healthcare organization registered as a psychiatric/mental health in Knoxville, Tennessee and active in the NPI registry since May 2016. The organization lists Paul Caudill, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336596584
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHLAND BEHAVIORAL HEALTH
Location Address9220 PARK WEST BLVD STE 1Knoxville, TN 37923-4405
Mailing Address9220 Park West Blvd Ste 1Knoxville, TN 37923-4405 · (865) 247-6754
Organization SubpartNo
Authorized OfficialPaul CaudillChief Executive Officer · (615) 521-9097
Enumeration DateMay 18, 2016
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1336596584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 20770
9220 PARK WEST BLVD STE 1, Knoxville, TN 37923

Other Identifiers 1

Other20770TN · Tennessee State License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southland Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Southland Behavioral Health, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1407320039
9220 PARK WEST BLVD STE 1
Knoxville, TN 37923
(865) 247-6754
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932837242
9220 PARK WEST BLVD
Knoxville, TN 37923
(865) 247-6754
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750190476
9220 PARK WEST BLVD STE 1
Knoxville, TN 37923
(865) 247-6754
✔ PECOSSame address
Nurse Practitioner
NPI 1992190359
9220 PARK WEST BLVD STE 1
Knoxville, TN 37923
(865) 247-6754
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114802501
408 N CEDAR BLUFF RD STE 305
Knoxville, TN 37923
(865) 888-5818
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1790911469
408 N CEDAR BLUFF RD STE 305
Knoxville, TN 37923
(865) 888-5818
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1326377177
9220 PARK WEST BLVD STE 1
Knoxville, TN 37923
(865) 247-6754
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1396441572
214 S PETERS RD STE 101
Knoxville, TN 37923
(865) 789-2290
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1467109900
8529 OXFORD DR
Knoxville, TN 37922
(901) 461-3796
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1598784191
6908 HOSPITALITY CIR
Knoxville, TN 37909
(865) 770-3713
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1740586726
12216 BLUFF SHONE DR.
Knoxville, TN 37922
(865) 382-6657
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1942906813
5645 MERCHANTS CENTER BLVD
Knoxville, TN 37912
(865) 257-9982
✔ PECOS9.1 mi
Nurse Practitioner
NPI 1659201341
800 OAK RIDGE TPKE
Oak Ridge, TN 37830
(865) 324-2043
✔ PECOS11 mi
Nurse Practitioner
NPI 1073346771
110 N A ST
Lenoir City, TN 37771
(865) 684-5688
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1245919869
3950 SPARKS DR SE STE 103
Grand Rapids, MI 49546
(616) 726-1318
✔ PECOS✔ Accepts Medicare489 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southland Behavioral Health's NPI number?

The NPI number for Southland Behavioral Health is 1336596584. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Southland Behavioral Health located?

Southland Behavioral Health is located at 9220 Park West Blvd Ste 1, Knoxville, TN 37923. The listed phone number is (865) 247-6754.

What is Southland Behavioral Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Southland Behavioral Health enrolled in Medicare?

Yes. Southland Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southland Behavioral Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southland Behavioral Health was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.