NPIMap

Organization Active NPI

Hometown Family Medical Centers, PLLC

  • Rural Health Clinic/Center
  • Newaygo, MI
National Provider Identifier
1114720554
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOMETOWN FAMILY MEDICAL CENTERS, PLLC
Practice address
8379 S Mason Dr
Newaygo, MI 49337-9140
Phone
(231) 402-5000
Fax
(231) 769-2014
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Scott Martin Brown, PA-CNPI 1760581383
Title
Coo
Phone
(231) 571-6757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

8379 S Mason Dr
Newaygo, MI 49337-9140

Mailing address

8379 S Mason Dr
Newaygo, MI 49337-9140
Phone (231) 402-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603002168 MI Part A Provider - Rural Health Clinic 9335666981 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newaygo, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114720554. Details of each certification follow.

Rural health clinic certification: CCN 238945

Legal name
HOMETOWN FAMILY MEDICAL CENTERS PLLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 19, 2025
Last certification
Aug 19, 2025
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
8379 S Mason Dr
Newaygo, MI 49337-9140

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8379 S Mason Dr
Newaygo, MI 49337
Phone (231) 403-5000

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James a Harrill Individual 5% Or Greater Direct Ownership InterestCfo Dec 6, 2024 45%
Corporate OfficerCfo Dec 6, 2024 45%
Jenna M McPherson-Whitten Individual W-2 Managing EmployeeCredentialing Lead Apr 1, 2025
Dominic a Borgialli Individual 5% Or Greater Direct Ownership InterestCmo, Medical Director Dec 6, 2024 10%
Corporate DirectorCmo Dec 6, 2024 10%
Scott Brown Individual 5% Or Greater Direct Ownership InterestCoo Dec 6, 2024 45%
Corporate OfficerCoo Dec 6, 2024 45%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 11

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1114720554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 S MASON DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379140",
            "telephone_number": "231-402-5000",
            "fax_number": "231-769-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8379 S MASON DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379140",
            "telephone_number": "231-402-5000",
            "fax_number": "231-769-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICAL CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "231-571-6757",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

Verify at the official NPI Registry.