Active NPI
Cedar Street Primary Care Inc.
- Family Medicine Physician
- Hartselle, AL
National Provider Identifier
1912486937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29015
- Legal business name
- CEDAR STREET PRIMARY CARE INC.
- Practice address
- 220 Cedar St NW
Hartselle, AL 35640 - Phone
- (256) 773-2260
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeb Stuart Hornsby, MD
- Title
- President
- Phone
- (256) 292-7410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29015 | AL | Primary |
Addresses
Primary practice location
220 Cedar St NW
Hartselle, AL 35640
Mailing address
214 Highway 31 NW
Hartselle, AL 35640-4445
Phone (256) 292-7410
National Provider Directory
National Provider DirectoryLocations
220 Cedar St NW
Hartselle, AL 35640
Phone (256) 258-8579
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Addison, AL
- NPI 1538608781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1912486937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HIGHWAY 31 NW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356404445",
"telephone_number": "256-292-7410",
"fax_number": "256-502-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 CEDAR ST NW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "35640",
"telephone_number": "256-773-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR STREET PRIMARY CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-09",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "HORNSBY",
"authorized_official_first_name": "JEB",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-292-7410",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "29015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.