Hometown Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOMETOWN MEDICAL GROUP, LLC

Practice address

2195 N Citation Ave
Springfield, MO 65802-5420

Phone

(417) 476-6033

Fax

(417) 429-4543

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Leslie Alexander

Title

Credentialing Specialist

Phone

(301) 661-3481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Berry Andelin, M.D.

  • Family Medicine Physician
  • Aurora, MO
  • NPI 1457413858
  Medicare reassignment NPD
• Wesley Scott Davis, AGNP

  • Nurse Practitioner
  • Pierce City, MO
  • NPI 1548834864
  Medicare reassignment NPD
• Shari Lynn Hood, NP

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1902353691

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1295488195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 N CITATION AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025420",
            "telephone_number": "417-476-6033",
            "fax_number": "417-429-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N CITATION AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025420",
            "telephone_number": "417-476-6033",
            "fax_number": "417-429-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-661-3481"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alicia Holum, PLPC
• Home Health of the Ozarks
• Home Medical Supply of Poplar Bluff, Inc.
• Homecare Providers Group LLC
• Michelle L. Homesley, FNP
• Richard T Honderick, DO
• Bob Honicutt
• Honour Brite LLC
• Diane Elaine Hood, ATC LMT
• Jeanna Suzanne Hood, APRN, RN

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.