Active NPI
Jefferson County Hma LLC
- General Acute Care Hospital
- Jefferson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 0000000038
- Legal business name
- JEFFERSON COUNTY HMA LLC
- Practice address
- 110 Hospital Dr
Jefferson City, TN 37760-5281 - Phone
- (865) 471-2500
- Fax
- (865) 471-2450
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0000000038 | TN | Primary |
Addresses
Primary practice location
110 Hospital Dr
Jefferson City, TN 37760-5281
Mailing address
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440056 | Medicaid | TN |
Other names 1
- Tennova Healthcare-Jefferson Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000352 | TN | Part A Provider - Hospital | 7113191560 | Practice locations: Jefferson City, TN; Dandridge, TN |
Hospital certification: CCN 440056
- Legal name
- JEFFERSON COUNTY HMA, LLC
- Doing business as
- TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 22, 2012
- Beds
- 58
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 1, 2011 (3 total)
- Organization structure
- LLC
- Incorporated
- Jun 10, 2011 in TN
- Enrollment address
- 110 Hospital Drive
Jefferson City, TN 37760-5281 - Hospital subgroups
- Acute care, Swing-bed approved
Care Compare: Hospital
Medicare Care Compare- Listed as
- Tennova Healthcare-Jefferson Memorial Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 1, 2020 | ||
| Nathaniel K Summar | Corporate Director | Jul 15, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| Health Management Associates LLC | 5% Or Greater Direct Ownership Interest | Mar 31, 2019 | 100% |
| William Bradley Cash | Corporate Officer | Jun 1, 2018 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jan 27, 2014 | |
| Benjamin Ridder | W-2 Managing Employee | Oct 4, 2021 | |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| Christopher G Cobb | Corporate Officer | Apr 1, 2017 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jan 27, 2014 |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- La Follette, TN
- NPI 1023099447
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Caryville, TN
- NPI 1023613361
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Clinton, TN
- NPI 1093300717
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- Lafollette, TN
- NPI 1407838261
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Rural Health Clinic/Center
- La Follette, TN
- NPI 1639183353
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Psychiatric Hospital Unit
- La Follette, TN
- NPI 1548241953
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Lafollette, TN
- NPI 1639151301
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Lafollette, TN
- NPI 1831171693
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Hma-Tri Holdings LLC
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
-
- Psychiatric Hospital Unit
- Birmingham, AL
- NPI 1043263221
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Kingsport, TN
- NPI 1316130586
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1114977972
-
- Hospitalist Physician
- Germantown, TN
- NPI 1053514455
-
- Internal Medicine Physician
- Conway, SC
- NPI 1063475192
Affiliated clinicians 225
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1710932793
Hospital
-
- Certified Registered Nurse Anesthetist
- Morristown, TN
- NPI 1942241831
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1972585347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HOSPITAL DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377605281",
"telephone_number": "865-471-2500",
"fax_number": "865-471-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOSPITAL DR",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377605281",
"telephone_number": "865-471-2500",
"fax_number": "865-471-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON COUNTY HMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TN",
"license": "0000000038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440056",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennova Healthcare-Jefferson Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.