Organization Active NPI

Cedar Street Primary Care Inc.

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1912486937
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29015 Issued in AL
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

Updated by the provider on Sep 6, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.