Hometown Physician Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044619 Issued in GA

Legal business name

HOMETOWN PHYSICIAN GROUP, LLC

Doing business as

Hometown Family Medicine

Practice address

1698 Vernon Rd
Lagrange, GA 30240-4100

Phone

(706) 298-4937

NPI assigned

May 24, 2016

Last updated

Aug 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clarence Terrell Alford Jr., M.D.NPI 1497795397

Title

Owner/Physician

Phone

(706) 594-1598

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICCJAD

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarence Terrell Alford Jr., M.D.

  • Family Medicine Physician
  • Lagrange, GA
  • NPI 1497795397
  Medicare reassignment Care Compare group Authorized official
• Tracy W. Flory, CFNP

  • Family Nurse Practitioner
  • Lagrange, GA
  • NPI 1932145125
  Medicare reassignment Care Compare group NPD
• Kristin Lauren Mallory, NP

  • Family Nurse Practitioner
  • Lagrange, GA
  • NPI 1992384507

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Erin Meeks, MD

  • Family Medicine Physician
  • Lagrange, GA
  • NPI 1063705275
  Medicare reassignment Care Compare group NPD
• Clifford J Tumambing, MD

  • Family Medicine Physician
  • Lagrange, GA
  • NPI 1992934640
  Medicare reassignment Care Compare group NPD
• Nicole Casimira Crane, PA-C

  • Medical Physician Assistant
  • Lagrange, GA
  • NPI 1861724221
  Medicare reassignment Care Compare group
• Donald Piestrak

  • Physician Assistant
  • Lagrange, GA
  • NPI 1588093587
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1992153548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOOTY BRIDGE RD",
            "address_2": "SUITE 114",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302401881",
            "telephone_number": "706-523-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404100",
            "telephone_number": "706-298-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "706-594-1598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holistic Chiropractic, LLC
• Sarah Elizabeth Holle
• Sean Holloway, AGACNP-BC / FNP-BC
• Claire Ashley Hollstrom, DPM
• Richard Paul Hollstrom,Jr, DPM
• Kenneth T Horlander, M.D.
• Camille Horne
• Brian A Horton, NP
• Jody Theresa Houston, CCC-SLP
• Carla Howell, NP

• Family Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.