Organization Active NPI

Metro Knoxville Hma LLC

Doing business as Tennova Healthcare North Knoxville Medical Center

  • General Acute Care Hospital
  • Powell, TN
National Provider Identifier
1043292899
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000045 Issued in TN
Legal business name
METRO KNOXVILLE HMA LLC
Doing business as
Tennova Healthcare North Knoxville Medical Center
Practice address
7565 Dannaher Dr
Powell, TN 37849
Phone
(865) 545-8000
Fax
(865) 545-7682
NPI assigned
Nov 17, 2005
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000045 TN Primary

Addresses

Primary practice location

7565 Dannaher Dr
Powell, TN 37849

Mailing address

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 545-8000

Other identifiers 2

IdentifierTypeStateIssuer
0440120MedicaidTN
Q019104MedicaidTN

Other names 1

  • Tennova Healthcare North Knoxville Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000661 TN Part A Provider - Hospital 1658545033 Practice locations: Knoxville, TN; Powell, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043292899. Details of each certification follow.

Hospital certification: CCN 440120

Legal name
METRO KNOXVILLE HMA LLC
Doing business as
TENNOVA HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 23, 2017
Beds
628
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2011 (5 total)
Organization structure
LLCProprietary
Incorporated
Jun 10, 2011 in TN
Enrollment address
7565 Dannaher Way
Powell, TN 37849-4029
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Physicians Regional Medical CenterCCN 440120 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Tennova Rehab Care CenterCCN 44T120
Ownership
For profit
Certified
Jan 1, 1992

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
Metro Knoxville Hma LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Feb 27, 2012
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 14, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 99%
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Hospital Management Services of Florida LP Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Tennessee Hma Holdings, LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Roman Gabriel Ottinger Individual Corporate OfficerSr VP/Treasurer Jan 6, 2020
Knoxville Hma Holdings, LLC Organization, Naples, FL LLC 5% Or Greater Direct Ownership Interest Oct 1, 2011
George Tony Benton Individual W-2 Managing EmployeeCeo Apr 1, 2017
Health Management Associates LP Organization, Naples, FL 5% Or Greater Indirect Ownership Interest Oct 1, 2011
Paula M Lalor Individual Corporate DirectorDelegated Official Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Knoxville Rehabilitation HospitalKnoxville, TN, CCN 443037 Hospital 5% Or Greater Direct Ownership Interest (33.33%) Jun 22, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 121

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 121

Practitioners & affiliated clinicians

Practitioners 32

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 32

Affiliated clinicians 735

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 735

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1043292899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494029",
            "telephone_number": "865-545-8000",
            "fax_number": "865-545-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "37849",
            "telephone_number": "865-545-8000",
            "fax_number": "865-545-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO KNOXVILLE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440120",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019104",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare North Knoxville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.