Active NPI
Julie Danielle Laird, CRNP
- Gerontology Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1-119942
- Practice address
- 2967 Ross Clark Cir
Dothan, AL 36301-1119 - Phone
- (334) 305-2085
- NPI assigned
- Jul 6, 2020
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-119942 | AL | Primary |
Addresses
Primary practice location
2967 Ross Clark Cir
Dothan, AL 36301-1119
Mailing address
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085
Other practice location 1
617 E Broad St Ste B
Eufaula, AL 36027-1710
Phone (334) 232-4368
Other practice location 2
11740 Columbia St Ste 1
Blakely, GA 39823-2574
Phone (229) 724-3000
Other practice location 3
3122 Southride Ln
Bonifay, FL 32425-3325
Phone (850) 547-0011
Other names 1
- Julie Danielle Babinski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jdlnp0520@yahoo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11740 Columbia St
Blakely, GA 39823-2574
Phone (334) 305-2085
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085
3122 Southride LN
Bonifay, FL 32425-3325
Phone (850) 547-0011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-119942 | AL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Wound & Amputation Prevention Center, LLC | Current | Accepting new patients | |
| Wiregrass Wound & Amputation Prevention Center, LLC | Past | Accepting new patients | |
| Wiregrass Wound & Amputation Prevention Center, LLC | Past | Accepting new patients | |
| Wiregrass Wound & Amputation Prevention Center, LLC | Past | Accepting new patients |
Locations
2967 Ross Clark Cir
Dothan, AL 36301
Phone (334) 305-2085
2800 Ross Clark Cir
Ste 2
Dothan, AL 36301
Phone (334) 305-1848
617 E Broad St
Eufaula, AL 36027
Phone (334) 687-3836
130 N Randolph Ave
#A
Eufaula, AL 36027
617 E Broad St
#B
Eufaula, AL 36027
Phone (334) 232-4368
11740 Columbia St
#1
Blakely, GA 39823
Phone (229) 724-3000
11740 Columbia St
Ste I
Blakely, GA 39823
Phone (229) 724-3000
630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241
Organizations & group practices 4
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.
-
- Surgery Physician
- Dothan, AL
- NPI 1730756248
FL, GA
-
- Surgery Physician
- Dothan, AL
- NPI 1891603551
-
- Surgery Physician
- Bonifay, FL
- NPI 1669380176
-
- Surgery Physician
- Blakely, GA
- NPI 1790693455
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Southeast Alabama HomeCare
- Home Health Agency
- Dothan, AL
- NPI 1902041247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1427676584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2967 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011119",
"telephone_number": "334-305-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2967 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011119",
"telephone_number": "334-305-2085"
}
],
"practiceLocations": [
{
"address_1": "617 E Broad St Ste B",
"address_purpose": "LOCATION",
"city": "Eufaula",
"state": "AL",
"postal_code": "360271710",
"country_code": "US",
"telephone_number": "334-232-4368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11740 Columbia St Ste 1",
"address_purpose": "LOCATION",
"city": "Blakely",
"state": "GA",
"postal_code": "398232574",
"country_code": "US",
"telephone_number": "229-724-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3122 Southride Ln",
"address_purpose": "LOCATION",
"city": "Bonifay",
"state": "FL",
"postal_code": "324253325",
"country_code": "US",
"telephone_number": "850-547-0011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAIRD",
"first_name": "JULIE",
"middle_name": "DANIELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-119942",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jdlnp0520@yahoo.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "private",
"address_1": "453 Sandstone Dr",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "363037313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIE",
"last_name": "BABINSKI",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.