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HARTSELLE FAMILY MEDICINE
NPI 1922208057
Family Medicine in Hartselle, AL

Active since July 18, 2007CLIA 01D0866301 · Microscopy
615 MYNATT ST, SUITE E, HARTSELLE, AL 35640(256) 773-2979(256) 773-2986 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Feb 20, 2018 (2 updates tracked since 2018).

About Hartselle Family Medicine NPPES

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

HARTSELLE FAMILY MEDICINE (NPI 1922208057) is a healthcare organization registered as a family medicine in Hartselle, Alabama and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028, maintains a secondary practice location in Hartselle, and lists Patricia Lee Givens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922208057
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARTSELLE FAMILY MEDICINE
Location Address615 MYNATT ST, SUITE EHartselle, AL 35640
Mailing Address615 Mynatt St, Suite EHartselle, AL 35640 · (256) 773-2979 · Fax (256) 773-2986
Phone(256) 773-2979
Fax(256) 773-2986
Organization SubpartNo
Authorized OfficialPatricia Lee GivensOffice Manager · (256) 773-2979
Enumeration DateJuly 18, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1922208057 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.
615 MYNATT ST, Hartselle, AL 35640
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Secondary Practice Location 1

Location 1310 Pine St NW Ste AHartselle, AL 35640-2316 · Phone (256) 773-2979 · Fax (256) 773-2986

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Hartselle Family Medicine, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Haley Stuart, NP-C
Nurse Practitioner
NPI 1437798733
615 MYNATT ST SW STE E
Hartselle, AL 35640
(256) 773-2979
✔ PECOS✔ Accepts Medicare0.1 mi
Anna Holland, CRNP
Nurse Practitioner
NPI 1962740126
615 MYNATT ST SW
Hartselle, AL 35640
(256) 773-2979
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Walker, CRNP
Nurse Practitioner
NPI 1740090877
615 MYNATT ST SW
Hartselle, AL 35640
(256) 773-2979
✔ PECOS✔ Accepts Medicare0.1 mi
Josie Addison, CRNP
Nurse Practitioner
NPI 1194682302
615 MYNATT ST SW STE A
Hartselle, AL 35640
(256) 773-2979
✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D0866301

Hartselle Family Medicine PC · Hartselle, AL
Active · expires Aug 31, 2028
CLIA Number01D0866301
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAlan B. Walker
Laboratory Phone(256) 773-2979
Laboratory LocationHartselle Family Medicine PC615 Mynatt St SE Suite E, Hartselle, AL 35640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Medicine's NPI number?

The NPI number for Hartselle Family Medicine is 1922208057. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Hartselle Family Medicine located?

Hartselle Family Medicine is located at 615 Mynatt St Suite E, Hartselle, AL 35640. The listed phone number is (256) 773-2979.

What is Hartselle Family Medicine's specialty?

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

Is Hartselle Family Medicine enrolled in Medicare?

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

How many clinicians bill Medicare through Hartselle Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hartselle Family Medicine. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hartselle Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0866301) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hartselle Family Medicine was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.