Individual provider Active NPI

Christopher Homan, M.D.

  • Emergency Medicine Physician
  • Mountain BRK, AL
National Provider Identifier
1720427735
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27869 Issued in NV
Practice address
3522 Grand Rock Cir
Mountain BRK, AL 35223-1649
Phone
(678) 910-3664
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 31019 WV
Emergency Medicine Physician 207P00000X 0101271019 VA
Emergency Medicine Physician 207P00000X 72763 GA
Emergency Medicine Physician 207P00000X 2016009029 MO
Emergency Medicine Physician 207P00000X 036140673 IL
Emergency Medicine Physician 207P00000X 54490 TN
Emergency Medicine Physician 207P00000X 2023-01033 NC
Emergency Medicine Physician 207P00000X 35.139579 OH
Emergency Medicine Physician 207P00000X E-13095 AR
Emergency Medicine Physician 207P00000X 48716 KY
Emergency Medicine Physician 207P00000X 27869 NV Primary

Addresses

Primary practice location

3522 Grand Rock Cir
Mountain BRK, AL 35223-1649

Mailing address

2052 N Cleveland Ave Apt 2
Chicago, IL 60614-4505
Phone (678) 910-3664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, IL, AR, WV, NC, VA, NV8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20150430001379 GA Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20161004001488 KY Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20180710000043 IL Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20200701000273 AR Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20230221001041 WV Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 2 organizations
I20230710002650 NC Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20230710002906 VA Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization
I20250801002475 NV Practitioner - Emergency Medicine 7214179357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians

Practice addresses (Care Compare)

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

Hospital & facility affiliations

  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72763GAMDEmergency Medicine Physician
036140673ILMDEmergency Medicine Physician
48716KYMDEmergency Medicine Physician
2023-01033NCMDEmergency Medicine Physician
27869NVMDEmergency Medicine Physician
54490TNMDEmergency Medicine Physician
0101271019VAMDEmergency Medicine Physician
006463GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 29, 2023 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Dec 28, 2022 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1720427735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 N CLEVELAND AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144505",
            "telephone_number": "678-910-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 GRAND ROCK CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231649",
            "telephone_number": "678-910-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "31019",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101271019",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "72763",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016009029",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036140673",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "54490",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2023-01033",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.139579",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-13095",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "48716",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "27869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.