HARTSELLE FAMILY PRACTICE
NPI 1629482302
Family Medicine in Hartselle, AL

Active since June 20, 2014
1211 HIGHWAY 31 NW, HARTSELLE, AL 35640(256) 773-6017(256) 773-7834 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hartselle Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARTSELLE FAMILY PRACTICE (NPI 1629482302) is a healthcare organization registered as a family medicine in Hartselle, Alabama and active in the NPI registry since June 2014. The organization lists Kelli S Powers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629482302
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARTSELLE FAMILY PRACTICE
Location Address1211 HIGHWAY 31 NWHartselle, AL 35640-4420
Mailing Address1211 Highway 31 NwHartselle, AL 35640-4420 · (256) 773-6017 · Fax (256) 773-7834
Fax(256) 773-7834
Organization SubpartNo
Authorized OfficialKelli S PowersCeo · (256) 973-3535
Enumeration DateJune 20, 2014
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1629482302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1211 HIGHWAY 31 NW, Hartselle, AL 35640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hartselle Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hartselle Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336121458
301 PINE ST NW STE C
Hartselle, AL 35640
(256) 773-0770
✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hartselle Family Practice's NPI number?

The NPI number for Hartselle Family Practice is 1629482302. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Hartselle Family Practice located?

Hartselle Family Practice is located at 1211 Highway 31 NW, Hartselle, AL 35640. The listed phone number is (256) 773-6017.

What is Hartselle Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hartselle Family Practice enrolled in Medicare?

Yes. Hartselle Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hartselle Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Hartselle Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hartselle Family Practice was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.