Family Health of Hartselle

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19376 Issued in AL

Legal business name

FAMILY HEALTH OF HARTSELLE

Practice address

1006 Hill St SW
Hartselle, AL 35640-2802

Phone

(256) 773-9756

Fax

(256) 773-9401

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Eric Mashburn, MDNPI 1578524369

Title

Owner

Phone

(256) 773-9756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Kenneth E Mashburn, MD

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1578524369
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Virginia Halbrooks

  • Primary Care Nurse Practitioner
  • Hartselle, AL
  • NPI 1780151514
  Medicare reassignment Care Compare group NPD
• Susan Ashley Lecroix, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1194535815
  Care Compare group

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1982780185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HILL ST SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402802",
            "telephone_number": "256-773-9756",
            "fax_number": "256-773-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HILL ST SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402802",
            "telephone_number": "256-773-9756",
            "fax_number": "256-773-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH OF HARTSELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-773-9756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Leigh Ehlman, COTA/L
• Lindsey Elmore Guyse, OD
• Cory Livingston Elmore, CRNP
• Encore Rehabilitation, Inc. (Encore Rehab of Hartselle)
• Katherine C Evans
• Adrianne Franklin
• Freedom at Home, LLC
• Gilchrist Pharmacy, Inc.
• Gilchrist Pharmacy, Inc.
• Gladstone Primary Care PC

• Family Medicine Physician in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.