Kevin Martin Hornsby, M.D.
Individual provider Active NPI Family Medicine Physician · Blountstown, FL
NPI 1619908910 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1619908910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME87878 (FL)
- Practice address
- 16257 Sr 71 S
Blountstown, FL 32424 - Phone
- (850) 674-5411
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070129000409 | FL | Practitioner - Family Practice | 9537123062 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87878 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bittern Emergency Physicians, LLC | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current | Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Florida Care Level Management Direct, LLC | Past | Accepting new patients | |
| Hill Hospital of Sumter County | Past | Accepting new patients |
Locations
20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000
16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME87878 | FL | Yes |
Addresses
Primary practice location
16257 Sr 71 S
Blountstown, FL 32424
Mailing address
103 Oldbarn LN
Dothan, AL 36305-7360
Phone (407) 615-9974
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103754700 | Medicaid | FL | |
| 529802110 | Medicaid | AL |
Other providers in Blountstown, FL
- Tiffany Hatcher
- Bashaun Jakia Henry
- Cortina M Henry
- John Michael Henson
- Monica Hogans-White
- Sharee Alisha Hudson
- Amy Kleinrichert Hurt
- Integras Therapy & Wellness Centers Inc
- Alexandra Kimbrel
- Heather Montford King
All providers in Blountstown, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.