Organization Active NPI

Hti Memorial Hospital Corporation

Doing business as Tristar Skyline Medical Center

  • Psychiatric Hospital Unit
  • Madison, TN
National Provider Identifier
1417086596
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HTI MEMORIAL HOSPITAL CORPORATION
Doing business as
Tristar Skyline Medical Center
Practice address
500 Hospital Drive
Madison, TN 37115-5031
Phone
(615) 769-2000
Fax
(615) 769-7102
NPI assigned
Mar 5, 2007
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HTI MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Brad Schultz
Title
Cfo
Phone
(615) 769-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

500 Hospital Drive
Madison, TN 37115-5031

Mailing address

500 Hospital Drive
Madison, TN 37115-5031
Phone (615) 769-2000

Other identifiers 2

IdentifierTypeStateIssuer
136908000OtherTNTNCARE PREMIER/TBH
4139992OtherBCBS ADOLESCENT PSYCH

Other names 1

  • TRISTAR SKYLINE MEDICAL CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Part of
Hti Memorial Hospital Cor

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3443 Dickerson Pike
Ste 260
Nashville, TN 37207
Phone (615) 760-0511

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1417086596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DRIVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155031",
            "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": "500 HOSPITAL DRIVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155031",
            "telephone_number": "615-769-2000",
            "fax_number": "615-769-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HTI MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-769-7100"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNCARE PREMIER/TBH",
            "identifier": "136908000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ADOLESCENT PSYCH",
            "identifier": "4139992",
            "state": null
        }
    ],
    "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "TRISTAR SKYLINE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.