# CEDAR STREET PRIMARY CARE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912486937
- **Authorized official:** JEB STUART HORNSBY MD (PRESIDENT)
- **Authorized official phone:** (256) 292-7410

## Contact information

- **Practice address:** 220 CEDAR ST NW, HARTSELLE, AL 35640
- **Practice address phone:** (256) 773-2260
- **Mailing address:** 214 HIGHWAY 31 NW, HARTSELLE, AL 35640-4445
- **Mailing address phone:** (256) 292-7410
- **Mailing address fax:** (256) 502-9879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29015 | AL | Yes |

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 09/06/2023