NPIMap

Individual provider Active NPI

James Larry Hornsby Jr., MD

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1992701007
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054389 Issued in GA
Practice address
750 Town Park Lane
Town Park Comprehensive Medical Center
Kennesaw, GA 30144
Phone
(404) 365-0966
Fax
(770) 419-3121
NPI assigned
Jun 23, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054389 GA Primary

Addresses

Primary practice location

750 Town Park Lane
Town Park Comprehensive Medical Center
Kennesaw, GA 30144

Mailing address

3495 Piedmonth Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000736 GA Practitioner - Family Practice 7911983358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone (770) 579-7900

3747 Roswell Rd
Marietta, GA 30062-6227

3890 Redwine Rd SW
Atlanta, GA 30331-5583

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054389GAMDFamily Medicine Physician
34838TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 18, 2015 Accepting new patients
Wellstar Medical Group, LLC Family Medicine CurrentSince Apr 18, 2015 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Cobb Hospital, Inc PastSince Jul 1, 2018 Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Good Samaritan Health Center of Cobb PastSince Mar 1, 2005 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3747 Roswell Rd
Ste 216
Marietta, GA 30062
Phone (770) 973-2272

Interoperability endpoints

  • Direct secure messaging: jhornsby67591@directwellstar.org

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellstar MCG Health, Affiliated With Medical College of GeorgiaAugusta, GA, CCN 110034 Hospital Corporate Director Aug 29, 2023
Wellstar Cobb HospitalAustell, GA, CCN 110143 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Cobb Hospital Inpatient Rehab UnitAustell, GA, CCN 11T143 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Paulding HospitalHiram, GA, CCN 110042 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Kennestone Regional Medical CenterMarietta, GA, CCN 110035 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Kennestone HospitalMarietta, GA, CCN 11T035 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Douglas HospitalDouglasville, GA, CCN 110184 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar West Georgia Medical CenterLagrange, GA, CCN 110016 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Windy Hill HospitalMarietta, GA, CCN 112007 Hospital Corporate Director (5%) Jul 1, 2018
Roosevelt Warm Springs LTAC HospitalWarm Springs, GA, CCN 112000 Hospital Corporate Director Aug 29, 2023
Wellstar Roosevelt Rehabilitation Care at Warm SpringsWarm Springs, GA, CCN 113028 Hospital Corporate Director Aug 29, 2023
Wellstar Spalding Regional HospitalGriffin, GA, CCN 110031 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar North Fulton HospitalRoswell, GA, CCN 110198 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar North Fulton HospitalRoswell, GA, CCN 11T198 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Sylvan Grove HospitalJackson, GA, CCN 111319 Hospital Corporate Director (5%) Jul 1, 2018
Wellstar Sylvan Grove HospitalJackson, GA, CCN 11Z319 Hospital Corporate Director (5%) Jul 1, 2018
West Georgia Home CareLagrange, GA, CCN 117032 Home health agency Corporate Director (5%) Jul 1, 2018
Wellstar Home HealthMarietta, GA, CCN 117102 Home health agency Corporate Director (5%) Jul 1, 2018
Wellstar Community HospiceAustell, GA, CCN 111507 Hospice Corporate Director (5%) Jul 1, 2018
West Georgia HospiceLagrange, GA, CCN 111516 Hospice Corporate Director (5%) Jul 1, 2018

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992701007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONTH ROAD, NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-364-7070",
            "fax_number": "770-419-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TOWN PARK LANE",
            "address_2": "TOWN PARK COMPREHENSIVE MEDICAL CENTER",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "404-365-0966",
            "fax_number": "770-419-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "JAMES",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.