Active NPI
Jay S Hortenstine, M.D.
- Urology Physician
- Gainesville, GA
National Provider Identifier
1700802444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 027068
- Practice address
- 1315 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3822 - Phone
- (770) 219-6520
- Fax
- (770) 219-6521
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 027068 | GA | Primary |
Addresses
Primary practice location
1315 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3822
Mailing address
5332 Mount Vernon Rd
Murrayville, GA 30564-1404
Phone (770) 983-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027068 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Urology, PC | Current | Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients |
Locations
1240 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-8438
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Gainesville, GA
- NPI 1407872872
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1700802444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5332 MOUNT VERNON RD",
"city": "MURRAYVILLE",
"state": "GA",
"postal_code": "305641404",
"telephone_number": "770-983-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 JESSE JEWELL PKWY NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013822",
"telephone_number": "770-219-6520",
"fax_number": "770-219-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTENSTINE",
"first_name": "JAY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "027068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.