NPIMap

Organization Active NPI

Vanderbilt Bedford Hospital, LLC

Doing business as Vanderbilt Bedford Hospital

  • General Acute Care Hospital
  • Shelbyville, TN
National Provider Identifier
1487253449
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VANDERBILT BEDFORD HOSPITAL, LLC
Doing business as
Vanderbilt Bedford Hospital
Practice address
2835 Highway 231 N
Shelbyville, TN 37160-7327
Phone
(931) 685-5433
NPI assigned
Oct 21, 2020
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Angela L Simmons
Title
VP - Finance
Phone
(615) 936-8875

Specialties & licenses 1

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

Addresses

Primary practice location

2835 Highway 231 N
Shelbyville, TN 37160-7327

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other names 1

  • Vanderbilt Bedford Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210114002679 TN Part A Provider - Hospital 4082026695 Practice locations: Shelbyville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487253449. Details of each certification follow.

Hospital certification: CCN 440137

Legal name
VANDERBILT BEDFORD HOSPITAL LLC
Doing business as
VANDERBILT BEDFORD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 19, 1966
Last certification
Jun 6, 2000
Beds
104
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2005 (1 total)
Organization structure
LLCNon-profit
Enrollment address
2835 Highway 231 N
Shelbyville, TN 37160-7327
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 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Vanderbilt Bedford HospitalCCN 440137 · 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
Tax ID family
Vanderbilt Medical Group13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
John R Ingram Individual Corporate DirectorBoard Member Jul 1, 2022
Cecelia Moore Individual Corporate OfficerTreasurer Oct 9, 2020
Gail Carr Williams Individual Corporate DirectorBoard Member Jul 1, 2023
John Frederick Stein Individual Corporate DirectorGoverning Board Member Oct 9, 2020
Angela Simmons Individual Corporate Director Aug 1, 2021
Daniel Diermeier Individual Corporate DirectorGoverning Board Member Oct 9, 2020
Edith Carell Johnson Individual Corporate DirectorGoverning Board Member Oct 9, 2020
Makeba Williams Individual Corporate DirectorBoard Member Jul 1, 2022
Jane Freedman Individual W-2 Managing EmployeeChief Health System Officer Jul 1, 2025
Colin Reed Individual Corporate DirectorBoard Member Jul 1, 2023
Vanderbilt University Medical Center Organization, Nashville, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 9, 2020 100%
Operational/Managerial Control Jan 1, 2021
Kenneth W Rich Individual Contracted Managing EmployeePresident Jan 1, 2021
Lucinda M Baier Individual Corporate DirectorBoard Member Jul 1, 2022
Sara Finley Individual Corporate DirectorBoard Member Jan 1, 2022
Raymond D Mefford Individual Corporate OfficerSecretary/General Counsel Jul 1, 2024
Jeffrey Balser Individual Corporate DirectorGoverning Board Member Oct 9, 2020

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 272

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

View all 272

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1487253449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HIGHWAY 231 N",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607327",
            "telephone_number": "931-685-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT BEDFORD HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP - FINANCE",
        "authorized_official_telephone_number": "615-936-8875"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vanderbilt Bedford Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanderbilt Bedford Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.