Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn R Peterson, MD

Individual provider Psychiatry Physician · NPI 1427026913

Glenn R Peterson, MD is a Psychiatry in Knoxville, Tennessee. Graduated from Georgetown University School of Medicine in 1975, 51 years ago. Practices with East Tennessee Addiction Specialists, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
51
Trained at
Georgetown University School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9301 Parkwest Blvd
Knoxville, TN 37923
Phone: (865) 694-9391
Fax: (865) 694-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 17519 (TN)

Record details

NPI number1427026913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address9301 Parkwest Boulevard, Knoxville, TN 37923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice East Tennessee Addiction Specialists — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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