Hartselle Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HARTSELLE FAMILY PRACTICE

Practice address

1211 Highway 31 NW
Hartselle, AL 35640-4420

Phone

(256) 773-6017

Fax

(256) 773-7834

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Kelli S Powers

Title

Ceo

Phone

(256) 973-3535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Amit V Vora, MD

  • Internal Medicine Physician
  • Hartselle, AL
  • NPI 1336121458
  Medicare reassignment NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1629482302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404420",
            "telephone_number": "256-773-6017",
            "fax_number": "256-773-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404420",
            "telephone_number": "256-773-6017",
            "fax_number": "256-773-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSELLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-973-3535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelie Harris
• Hartselle City
• Hartselle Emergency Services, LLC
• Hartselle Family Dentistry, LLC
• Hartselle Family Medicine
• Hartselle Health Co, Inc.
• Hartselle Med-Peds
• Hartselle Medical Center
• Hartselle Physicians, Inc.
• Hartselle Primary Care, P.C.

• Family Medicine Physician in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.