Organization Active NPI

Hometown Healthcare of Magee, PLLC

  • Family Medicine Physician
  • Magee, MS
National Provider Identifier
1831619253
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMETOWN HEALTHCARE OF MAGEE, PLLC
Practice address
376 Simpson Highway 149 Ste 400
Magee, MS 39111-3570
Phone
(601) 849-1220
Fax
(601) 849-5832
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Tammy L Lichte
Title
Clinic Manager
Phone
(601) 849-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

376 Simpson Highway 149 Ste 400
Magee, MS 39111-3570

Mailing address

376 Simpson Highway 149 Ste 400
Magee, MS 39111-3570
Phone (601) 849-1220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825002195 MS Part B Supplier - Clinic/Group Practice 1355613332 Receives reassigned benefits from 4 practitioners
Practice locations: Magee, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2090967Hometown Healthcare of Magee, PLLC376 Simpson Hwy 149 Ste 400, Magee, MS 39111Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

376 Simpson Highway 149
Ste 400
Magee, MS 39111
Phone (601) 849-1220

360 Simpson Highway 149
Ste 310
Magee, MS 39111
Phone (601) 849-1221

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1831619253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 SIMPSON HIGHWAY 149 STE 400",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113570",
            "telephone_number": "601-849-1220",
            "fax_number": "601-849-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SIMPSON HIGHWAY 149 STE 400",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113570",
            "telephone_number": "601-849-1220",
            "fax_number": "601-849-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE OF MAGEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "LICHTE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "601-849-1226"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.