NPIMap

Organization Active NPI

Parkridge Medical Center, Inc.

Doing business as Parkridge Medical Center

  • General Acute Care Hospital
  • Chattanooga, TN
National Provider Identifier
1104874684
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PARKRIDGE MEDICAL CENTER, INC.
Doing business as
Parkridge Medical Center
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 698-6061
Fax
(423) 493-1208
NPI assigned
May 5, 2006
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Carolyn Ridge
Title
Cfo
Phone
(423) 493-1772

Specialties & licenses 1

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

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

Other practice location 1

1000 Highway 28
Jasper, TN 37347-3638
Phone (423) 837-9500

Other identifiers 15

IdentifierTypeStateIssuer
0411152OtherTNHEALTHSPRING
1000075OtherTNBLUE CROSS
HOS0156NMedicaidAL
906999200MedicaidFL
0054755MedicaidNJ
9803981000MedicaidWV
158685105MedicaidAR
0140003376OtherTNCIGNA
5000069OtherTNUNITED HEALTH CARE
7096461MedicaidMA
4400156MedicaidNC
2377842MedicaidOH
1707988MedicaidLA
00312969AMedicaidGA
0440156MedicaidTN

Other names 1

  • PARKRIDGE MEDICAL CENTER Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address PARKRIDGE.COCPC.TNB@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040114000397 TN Part A Provider - Hospital 0547161507 Practice locations: Soddy Daisy, TN; Jasper, TN; Cleveland, TN; Chattanooga, TN
O20211015000410 TN Part B Supplier - Intensive Cardiac Rehabilitation 0547161507 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104874684. Details of each certification follow.

Hospital certification: CCN 440156

Legal name
PARKRIDGE MEDICAL CENTER, INC.
Doing business as
PARKRIDGE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 28, 1971
Last certification
Jul 9, 2014
Beds
621
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jul 9, 1970 in TN
Enrollment address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Alcohol/drug, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Parkridge Medical CenterCCN 440156 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

2205 McCallie Ave
Ste 105
Chattanooga, TN 37404
Phone (423) 493-1949

2339 McCallie Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 493-6714

4071 S Access Rd
Ste 107
Chattanooga, TN 37406

Interoperability endpoints

  • Direct secure messaging: parkridge.cocpc.tnb@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 38

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

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2011 100%
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Jun 29, 2007 100%
John M Franck Individual Corporate Director Jun 29, 2007
Douglas L Downey Individual Corporate Officer Apr 18, 2016
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2011 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Christopher F Wyatt Individual Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Jan 1, 2010
Joseph a Sowell Individual Corporate Officer Oct 18, 2011
John M Hackett Individual Corporate Officer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 20%
Wesley Fountain Individual Corporate OfficerDivision Cfo -Tristar Sep 1, 2018
Samuel N Hazen Individual Corporate Director Oct 18, 2011
Mitchell Edgeworth Individual Corporate Officer Jan 4, 2021
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate Officer Apr 5, 2013
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Jun 29, 2007 100%
Caroline F Burris Individual Corporate OfficerVice President May 13, 2024
Hospital Corp LLC Organization, Nashville, TN For-profit 5% Or Greater Direct Ownership Interest Jun 29, 2007 100%
Seth a Killingbeck Individual Corporate OfficerVice President Aug 10, 2012
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Carolyn a Ridge Individual Corporate OfficerHospital Cfo Mar 30, 2020
W-2 Managing EmployeeCfo Mar 30, 2020
Michael T Bray Individual Corporate Officer Jan 1, 2010
Peter J Rossell Individual Corporate OfficerOfficer Jan 1, 2023
Timothy M McManus Individual Corporate OfficerOfficer Jun 25, 2012
Frisco Holding II Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 10.6%
Christopher Cosby Individual Corporate OfficerHospital Ceo Apr 3, 2023
W-2 Managing EmployeeHospital Ceo Apr 3, 2023
Brad Ej Spicer Individual Corporate OfficerOfficer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 18, 2016
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Jan 1, 2010
Russell Young Individual Corporate OfficerOfficer Jan 1, 2023

Facilities with the same owner 173

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

View all 173

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 482

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

View all 482

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1104874684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-698-6061",
            "fax_number": "423-493-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-698-6061",
            "fax_number": "423-493-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Highway 28",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473638",
            "country_code": "US",
            "telephone_number": "423-837-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "RIDGE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-493-1772"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "0411152",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000075",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0156N",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906999200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054755",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9803981000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158685105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0140003376",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5000069",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7096461",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4400156",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377842",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707988",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312969A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440156",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PARKRIDGE.COCPC.TNB@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "2333 McCallie Ave",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374043258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PARKRIDGE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARKRIDGE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.