Hometown Healthcare, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

118093 Issued in GA

Legal business name

HOMETOWN HEALTHCARE, LLC

Practice address

1035 E Forsyth St
Americus, GA 31709-3721

Phone

(229) 924-5200

Fax

(229) 924-0073

NPI assigned

Feb 4, 2012

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Wayne Hagins

Title

Owner

Phone

(229) 924-4156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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, and the practitioner matching its NPPES authorized official.

• Linda Banks Hagins, FNP-C

  • Family Nurse Practitioner
  • Americus, GA
  • NPI 1760588743
  Medicare reassignment NPD
• Christine Harrell, PA

  • Medical Physician Assistant
  • Macon, GA
  • NPI 1295732576
  NPD (past)
• Cynthia L. Phillips, D.O.

  • Internal Medicine Physician
  • Tifton, GA
  • NPI 1972539708
  NPD (past)

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1639441744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E FORSYTH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093721",
            "telephone_number": "229-924-5200",
            "fax_number": "229-924-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E FORSYTH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093721",
            "telephone_number": "229-924-5200",
            "fax_number": "229-924-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HAGINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-924-4156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "118093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285996480D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Hightower
• Susan Ashley Hobbs, FNP
• Jami Hodges, FNP-C
• Shereka Holley
• Deanna Lee Holton, FNP
• Hometown Medical, Inc.
• Julie Howell Horn, FNP-C
• Monica Horn, RPH
• Elsenna Dellonya Howard, CACII
• Allen Blaine Howell, FNP-C

• Family Nurse Practitioner in Americus, GA
• Providers in Americus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.