Thomas Jordan Hartline, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-182090 Issued in AL

Practice address

2505 US Highway 431
Boaz, AL 35957-5908

Phone

(256) 593-8310

NPI assigned

Oct 4, 2025

Last updated

Oct 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Medical Center South Diamond Hospital ServicesGroup PAC ID 7012173289, 6 clinicians

MMC Inpatient Physician ServicesGroup PAC ID 9537669718, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marshall Medical Center South Diamond Hospital Services

  • Family Medicine Physician
  • Boaz, AL
  • NPI 1063741841
  Medicare reassignment Care Compare group NPD
• MMC Inpatient Physician Services

  • Hospitalist Physician
  • Boaz, AL
  • NPI 1669362844
  Medicare reassignment Care Compare group NPD

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

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1902770613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 KIRK RD",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359866029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575908",
            "telephone_number": "256-593-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "THOMAS",
        "middle_name": "JORDAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-182090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maan Samir Harb
• Ava Sophia Harbian
• Maegen Harris
• Christina Harrison
• Rebecca Wales Harrison, CRNP
• Marty T. Hatala, D.C.
• Arica Havis, LPC
• Healing Havein Counseling, LLC
• Hga Home Medical Equipment, LLC (Medical Centers Home Medical Equipment)
• HH Health System - Marshall LLC (Marshall Medical Center)

• Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.