NPIMap

Organization Active NPI

Hti Memorial Hospital Corporation

Doing business as Tristar Skyline Medical Center

  • General Acute Care Hospital
  • Nashville, TN
National Provider Identifier
1295780476
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HTI MEMORIAL HOSPITAL CORPORATION
Doing business as
Tristar Skyline Medical Center
Practice address
3441 Dickerson Pike
Nashville, TN 37207-2539
Phone
(615) 769-2000
Fax
(615) 769-7102
NPI assigned
May 24, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Sam Williamson
Title
Cfo
Phone
(615) 698-3607

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

3441 Dickerson Pike
Nashville, TN 37207-2539

Mailing address

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

Other identifiers 37

IdentifierTypeStateIssuer
003128338MedicaidCT
011548401MedicaidMO
08227060MedicaidMS
620725924MedicaidME
0933564MedicaidIA
5000049OtherUNITED HEALTHCARE
0278855MedicaidOH
0430297OtherHEALTHSPRING
200365060AMedicaidIN
82086800MedicaidWI
0134520501MedicaidKS
100697760AMedicaidOK
10780BMedicaidSC
20002013MedicaidNH
2503077MedicaidTN
000953554XMedicaidGA
012633XMedicaidMN
0440006MedicaidTN
1072741050MedicaidAK
1204149MedicaidMA
48614MedicaidMD
910617100MedicaidFL
NAS0006NMedicaidAL
01653709MedicaidNY
01876740MedicaidPA
1000174OtherBLUE CROSS
621113737001MedicaidUT
XHSP33423MedicaidCA
004400062MedicaidVA
0105622000MedicaidWV
01621879MedicaidKY
4400006MedicaidNC
9500232503MedicaidCO
072824801MedicaidTX
149133105MedicaidAR
1747793MedicaidLA
A9081MedicaidNM

Other names 1

  • TRISTAR SKYLINE 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 SKYLINENASHVILLE.COCNV.TNA@CCDA.HCADIRECT.NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021115000002 TN Part A Provider - Hospital 5991613341 Practice locations: Nashville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295780476. Details of each certification follow.

Hospital certification: CCN 440006

Legal name
HTI MEMORIAL HOSPITAL CORPORATION
Doing business as
TRISTAR SKYLINE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 14, 2007
Beds
395
Ownership / control type
Private (not for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 6, 1993 in TN
Enrollment address
3441 Dickerson Pike
Nashville, TN 37207-2539
Main/Primary Hospital Location
Hospital subgroups
Acute care

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
Tristar Skyline Medical CenterCCN 440006 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

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

Interoperability endpoints

  • Direct secure messaging: skylinenashville.cocnv.tna@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 37

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
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
Bank of America, N.a. Organization, Charlotte, NC Financial institution, For-profit 5% Or Greater Security Interest Nov 7, 2006
HCA Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 28, 2007 100%
John M Franck Individual Corporate Director Nov 15, 2002
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 28, 2007 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 Mar 17, 2011
John M Hackett Individual Corporate Officer Apr 18, 2016
Mark a Miller Individual Corporate OfficerHospital Ceo Jan 3, 2023
W-2 Managing EmployeeHospital Ceo Jan 3, 2023
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 20%
Wesley Fountain Individual Corporate OfficerDivision Cfo Sep 1, 2018
Samuel N Hazen Individual Corporate DirectorPresident Apr 11, 2011
Mitchell Edgeworth Individual Corporate Officer Jan 4, 2021
Samuel Williamson Individual Corporate OfficerHospital Cfo Aug 14, 2023
W-2 Managing EmployeeHospital Cfo Aug 14, 2023
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 Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 28, 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
Michael T Bray Individual Corporate Officer Nov 15, 2002
Peter J Rossell Individual Corporate OfficerOfficer Jan 1, 2023
Timothy M McManus Individual Corporate OfficerOfficer Jun 25, 2012
Frisco Holding II Organization, Nashville, TN Corporation, Holding company, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 10.6%
Brad Ej Spicer Individual Corporate OfficerOfficer Jan 1, 2023
Hti Hospital Holdings Inc Organization, Nashville, TN For-profit 5% Or Greater Direct Ownership Interest Jun 28, 2007 100%
Kevin a Ball Individual Corporate Director Apr 7, 2014
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 191

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

View all 191

Practitioners & affiliated clinicians

Practitioners 25

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 25

Affiliated clinicians 488

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

View all 488

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1295780476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 DICKERSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072539",
            "telephone_number": "615-769-2000",
            "fax_number": "615-769-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 DICKERSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072539",
            "telephone_number": "615-769-2000",
            "fax_number": "615-769-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HTI MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-698-3607"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
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            "identifier": "011548401",
            "state": "MO"
        },
        {
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            "issuer": null,
            "identifier": "08227060",
            "state": "MS"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "620725924",
            "state": "ME"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "0933564",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000049",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278855",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "0430297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200365060A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82086800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134520501",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100697760A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10780B",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20002013",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503077",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000953554X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012633X",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440006",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072741050",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204149",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48614",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910617100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAS0006N",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653709",
            "state": "NY"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01876740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621113737001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP33423",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004400062",
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        },
        {
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        },
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        },
        {
            "code": "05",
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        },
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            "code": "05",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072824801",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149133105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1747793",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A9081",
            "state": "NM"
        }
    ],
    "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 Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SKYLINENASHVILLE.COCNV.TNA@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": "3441 Dickerson Pike",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372072539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TRISTAR SKYLINE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRISTAR SKYLINE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.