Individual provider Active NPI

Stanley Alan Clayton, FNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1174049449
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1090502 Issued in AL
Practice address
6901 Airport Blvd
Mobile, AL 36608-3795
Phone
(251) 634-2278
NPI assigned
Aug 18, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1090502 AL Primary

Addresses

Primary practice location

6901 Airport Blvd
Mobile, AL 36608-3795

Mailing address

14354 Timber Ridge Dr
Loxley, AL 36551-5425
Phone (251) 458-8682

Other practice location 1

9985 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 633-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113003063 AL Practitioner - Nurse Practitioner 2860758539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Urgent Care LLCGroup PAC ID 8820269871, 6 clinicians

Practice addresses (Care Compare)

9985 Airport Boulevard
Mobile, AL 36608-9525
Phone (251) 633-2273

Merit-based Incentive Payment System (MIPS)

Final score
86.82 of 100Reported as group
Improvement activities
40
Cost
73.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1090502ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. CurrentSince Jul 1, 2023 Accepting new patients
Compass Urgent Care LLC CurrentSince Sep 19, 2017 Accepting new patients

Locations

29487 State Highway 181
Daphne, AL 36526
Phone (251) 279-5400

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

9985 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174049449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14354 TIMBER RIDGE DR",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "365515425",
            "telephone_number": "251-458-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083795",
            "telephone_number": "251-634-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9985 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366089525",
            "country_code": "US",
            "telephone_number": "251-633-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "STANLEY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1090502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.