Organization Active NPI

Hometown Healthcare PLLC

Doing business as Hometown Healthcare

  • Primary Care Clinic/Center
  • Oneonta, AL
National Provider Identifier
1700557063
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOMETOWN HEALTHCARE PLLC
Doing business as
Hometown Healthcare
Practice address
103 4TH St N
Oneonta, AL 35121-1424
Phone
(205) 274-2320
NPI assigned
Sep 25, 2021
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Christina Turner GodfreyNPI 1447746433
Title
Owner
Phone
(256) 452-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

103 4TH St N
Oneonta, AL 35121-1424

Mailing address

272 County Highway 57
Oneonta, AL 35121-4416
Phone (256) 452-0228

Other identifiers 1

IdentifierTypeStateIssuer
1447746433OtherNPI

Other names 1

  • Hometown Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209000141 AL Part B Supplier - Clinic/Group Practice 3870986128 Receives reassigned benefits from 1 practitioner
Practice locations: Oneonta, AL

National Provider Directory

National Provider Directory

Locations

103 4th St N
Oneonta, AL 35121
Phone (205) 274-2320

332 1st Ave E
Oneonta, AL 35121

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1700557063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COUNTY HIGHWAY 57",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351214416",
            "telephone_number": "256-452-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 4TH ST N",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211424",
            "telephone_number": "205-274-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-452-0228"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447746433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneonta, AL

Sources for this page

  • 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.