Organization Active NPI

Hometown Family Medicine, Inc.

  • Primary Care Nurse Practitioner
  • Moody, AL
National Provider Identifier
1013318070
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1124159 Issued in AL
Legal business name
HOMETOWN FAMILY MEDICINE, INC.
Practice address
2846 Moody Pkwy
Moody, AL 35004-3328
Phone
(205) 640-1756
Fax
(205) 640-1796
NPI assigned
Sep 9, 2014
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Kala Blakely, DNPNPI 1235428731
Title
Owner/Nurse Practitioner
Phone
(205) 640-1756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1124159 AL Primary

Addresses

Primary practice location

2846 Moody Pkwy
Moody, AL 35004-3328

Mailing address

2846 Moody Pkwy
Moody, AL 35004-3328
Phone (205) 640-1756

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2085084Hometown Family Medicine Inc2846 Moody Pkwy, Moody, AL 35004Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

2846 Moody Pkwy
Moody, AL 35004
Phone (205) 640-1756

2846 Moody Pkwy
#300
Moody, AL 35004
Phone (205) 640-1756

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1013318070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043328",
            "telephone_number": "205-640-1756",
            "fax_number": "205-640-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043328",
            "telephone_number": "205-640-1756",
            "fax_number": "205-640-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-640-1756",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1124159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.