Individual provider Active NPI

Kevin Martin Hornsby, M.D.

  • Family Medicine Physician
  • Blountstown, FL
National Provider Identifier
1619908910
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87878 Issued in FL
Practice address
16257 Sr 71 S
Blountstown, FL 32424
Phone
(850) 674-5411
NPI assigned
Jul 5, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 ME87878 FL Primary

Addresses

Primary practice location

16257 Sr 71 S
Blountstown, FL 32424

Mailing address

103 Oldbarn LN
Dothan, AL 36305-7360
Phone (407) 615-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000409 FL Practitioner - Family Practice 9537123062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87878FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jan 1, 2022 Accepting new patients
Bittern Emergency Physicians, LLC CurrentSince Nov 1, 2019 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Jan 1, 2022 Accepting new patients
Calhoun-Liberty Hospital Association Inc Current Accepting new patients
Emergency Physician Associates, P.a. Past Accepting new patients
Hill Hospital of Sumter County Past Accepting new patients
Florida Care Level Management Direct, LLC Past Accepting new patients

Locations

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e

Organizations & group practices 7

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1619908910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OLDBARN LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057360",
            "telephone_number": "407-615-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16257 SR 71 S",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "32424",
            "telephone_number": "850-674-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "KEVIN",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.