Individual provider Active NPI

Jeb Stuart Hornsby, MD

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1063608727
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29015 Issued in AL
Practice address
214 Highway 31 NW
Hartselle, AL 35640-4445
Phone
(256) 292-7410
Fax
(256) 502-9879
NPI assigned
Sep 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29015 AL Primary

Addresses

Primary practice location

214 Highway 31 NW
Hartselle, AL 35640-4445

Mailing address

214 Highway 31 NW
Hartselle, AL 35640-4445
Phone (256) 292-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000542 AL Practitioner - Family Practice 9436211950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Hornsby Family Medicine LLCGroup PAC ID 3577922954, 2 clinicians

Practice addresses (Care Compare)

214 Hwy 31 NW
Hartselle, AL 35640-2404
Phone (256) 292-7410

Hospital & facility affiliations

  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Aveanna Home Health Home health agency, Athens, AL, CCN 017881
  • Aveanna Hospice of Decatur Hospice, Decatur, AL, CCN 011654
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29015ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hornsby Family Medicine, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

214 Highway 31 NW
Hartselle, AL 35640
Phone (256) 292-7410

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of DecaturDecatur, AL, CCN 011654 Hospice W-2 Managing Employee Aug 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1063608727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404445",
            "telephone_number": "256-292-7410",
            "fax_number": "256-502-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404445",
            "telephone_number": "256-292-7410",
            "fax_number": "256-502-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "JEB",
        "middle_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.