NPIMap

Individual provider Active NPI

Horace Lee Cline, M.D.

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1154345353
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039073 Issued in GA
Practice address
420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Phone
(706) 509-3278
Fax
(706) 509-4608
NPI assigned
Jul 27, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39073 GA
Family Medicine Physician 207Q00000X 039073 GA Primary

Addresses

Primary practice location

420 E 2ND Ave
Suite 103
Rome, GA 30161-3224

Mailing address

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-6122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000888 GA Practitioner - Family PracticePractitioner - Emergency Medicine 5991779480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Graceful Touch Healthcare ProvidersGroup PAC ID 3375994742, 4 clinicians
Internal Medicine Associates of Jasper, PCGroup PAC ID 5092709998, 5 clinicians

Practice addresses (Care Compare)

11 Charley Harper Dr SE
Suite 100
Cartersville, GA 30120-1123
Phone (678) 719-0087

1420 Martha Berry Blvd NE
Suite 328
Rome, GA 30165-1602
Phone (706) 504-9888

415 E 2ND Ave
Rome, GA 30161-3223
Phone (706) 692-9768

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39073GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Touch Healthcare Providers CurrentSince Apr 3, 2024 Accepting new patients
Internal Medicine Associates of Jasper, PC CurrentSince Jan 5, 2024 Accepting new patients
Wellstreet of Georgia PC CurrentSince Jan 24, 2024 Accepting new patients
C.R. of Wildwood, LLC Past Accepting new patients
Redmond ER Services Inc Emergency Medicine Past Accepting new patients
Floyd Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3755 Sixes Rd
Ste 300
Canton, GA 30114
Phone (770) 928-7404

11 Charley Harper Dr SE
Ste 100
Cartersville, GA 30120
Phone (678) 719-0087

51 Gordon Rd
#201
Jasper, GA 30143

51 Gordon Rd
Ste 201
Jasper, GA 30143
Phone 70669297684002

53 Gordon Rd
Ste 101
Jasper, GA 30143

415 E 2nd Ave
Rome, GA 30161

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

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
Wildwood Health and RehabTalking Rock, GA, CCN 115706 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 27, 2023
Nov 27, 2023

Owned or controlled facilities with NPI records 1

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

  • C.R. of Wildwood, LLC

    dba Wildwood Health and Rehab

    • Skilled Nursing Facility
    • Talking Rock, GA
    • NPI 1235528357

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1154345353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-6122",
            "fax_number": "706-509-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-509-3278",
            "fax_number": "706-509-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "HORACE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "39073",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.