Individual provider Active NPI

James Irwin Horsley, M.D.

  • General Practice Physician
  • Seale, AL
National Provider Identifier
1073642880
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00019762 Issued in AL
Practice address
30 Uchee Pines Rd Lot 75
Seale, AL 36875-5726
Phone
(334) 855-4764
Fax
(334) 855-9014
NPI assigned
Mar 5, 2007
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 39752 KY
General Practice Physician 208D00000X 025873 GA
General Practice Physician 208D00000X 00019762 AL Primary

Addresses

Primary practice location

30 Uchee Pines Rd Lot 75
Seale, AL 36875-5726

Mailing address

30 Uchee Pines Rd Lot 75
Seale, AL 36875-5726
Phone (334) 855-4764

Other identifiers 1

IdentifierTypeStateIssuer
7100393140MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39752KYMDPhysical Medicine & Rehabilitation Physician
00019762ALMDGeneral Practice Physician
025873GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchee Pines Lifestyle Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1073642880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 UCHEE PINES RD LOT 75",
            "city": "SEALE",
            "state": "AL",
            "postal_code": "368755726",
            "telephone_number": "334-855-4764",
            "fax_number": "334-855-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 UCHEE PINES RD LOT 75",
            "city": "SEALE",
            "state": "AL",
            "postal_code": "368755726",
            "telephone_number": "334-855-4764",
            "fax_number": "334-855-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "JAMES",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "39752",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "025873",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00019762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100393140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.