NPIMap

Organization Active NPI

Parkridge Medical Center, Inc.

Doing business as Parkridge Medical Center

  • Rehabilitation Hospital Unit
  • Chattanooga, TN
National Provider Identifier
1689614521
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
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
Jun 8, 2006
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKRIDGE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Jay St. Pierre
Title
Cfo
Phone
(423) 493-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU 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 identifiers 1

IdentifierTypeStateIssuer
044T156MedicaidTN

Other names 1

  • PARKRIDGE 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000647 TN Part A Provider - Hospital 0547161507 Practice locations: Chattanooga, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689614521. Details of each certification follow.

Hospital certification: CCN 44T156

Legal name
PARKRIDGE MEDICAL CENTER, INC.
Doing business as
PARKRIDGE MEDICAL CENTER
Organization structure
CorporationProprietary
Incorporated
Jul 9, 1970 in TN
Enrollment address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Hospital subgroups
Rehabilitation unit

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Parkridge Medical CenterCCN 44T156 · All quality measures
Ownership
For profit
Certified
Apr 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
Family Sports Medicin12 organizations share this tax ID, including this one
Part of
Family Sports Medicin

Other organizations with this tax ID 11

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

Member organizations 2

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

Ownership & related parties

All disclosed owners & managing parties 39

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 OfficerSenior Vice President Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2010 100%
Jaime L Derensis Individual Corporate OfficerVice President and Assist Secretary Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 29, 2007 100%
John M Franck Individual Corporate DirectorVice President and Assist Secretary Jun 29, 2007
Douglas L Downey Individual Corporate OfficerAssistant Secretary Apr 18, 2016
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, 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 DirectorSenior Vice President Apr 18, 2016
John I Starling Individual Corporate OfficerAssistant Secretary Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate OfficerAssistant Secretary Jan 1, 2010
John M Hackett Individual Corporate OfficerSenior Vice President and Treasurer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 29%
Wesley Fountain Individual Corporate OfficerDivision Cfo -Tristar Sep 1, 2018
Samuel N Hazen Individual Corporate DirectorPresident Oct 18, 2011
Mitchell Edgeworth Individual Corporate OfficerSenior Vice President Jan 4, 2021
Ronald Lee Grubbs Individual Corporate OfficerVice President Jan 1, 2010
Monica Cintado Individual Corporate OfficerSenior Vice President Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Apr 5, 2013
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 29, 2001 100%
Hospital Corp LLC Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 29, 2007 100%
Seth a Killingbeck Individual Corporate OfficerVice President and Assist Secretary Aug 10, 2012
Timothy Scott Noonan Individual Corporate OfficerVice President Apr 5, 2013
Natalie H Cline Individual Corporate OfficerVice President and Secretary Apr 5, 2013
Carolyn a Ridge Individual Corporate OfficerHospital Cfo Sep 1, 2022
W-2 Managing EmployeeHospital Cfo Sep 1, 2022
Michael T Bray Individual Corporate OfficerVice President Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 5, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President 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 53%
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 5, 2025
Christopher Cosby Individual Corporate OfficerHospital Ceo Apr 3, 2023
W-2 Managing EmployeeHospital Ceo Apr 3, 2023
Edwin W Robinson Individual Corporate OfficerVice President Sep 5, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate OfficerVice President and Assist Secretary Apr 18, 2016
Jeffery McInturff Individual Corporate OfficerVice President Nov 29, 2021
Deborah H Mullin Individual Corporate OfficerAssistant Secretary Jan 1, 2010
Russell Young Individual Corporate OfficerVice President 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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1689614521",
    "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": [],
    "basic": {
        "organization_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKRIDGE MEDICAL CENTER, INC.",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "ST. PIERRE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-493-1293"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044T156",
            "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"
        }
    ],
    "other_names": [
        {
            "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.