Individual provider Active NPI

Mark Hartsfield, DO

  • Family Medicine Physician
  • Centerville, TN
National Provider Identifier
1265879878
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2807 Issued in TN
Practice address
150 E Swan St
Centerville, TN 37033-1446
Phone
(931) 729-3091
NPI assigned
May 23, 2013
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 2807 TN Primary

Addresses

Primary practice location

150 E Swan St
Centerville, TN 37033-1446

Mailing address

501 Great Circle Rd
Ste 200
Nashville, TN 37228-1330
Phone (615) 222-7576

Other identifiers 1

IdentifierTypeStateIssuer
Q021260MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160216000585 TN Practitioner - Family Practice 8820219090 Reassigns benefits to 2 organizations
I20250326004110 AL Practitioner - Family Practice 8820219090 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC Current Accepting new patients
Hickman Community Health Careservices CurrentSince Mar 9, 2016 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jun 7, 2025 Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince Jun 7, 2025 Accepting new patients
American Family Care, LLC CurrentSince Mar 1, 2025 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Mar 9, 2016 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Organizations & group practices 8

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1265879878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281330",
            "telephone_number": "615-222-7576",
            "fax_number": "615-222-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331446",
            "telephone_number": "931-729-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021260",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, TN

Sources for this page

Verify at the official NPI Registry.