Individual provider Active NPI

Julie Danielle Laird, CRNP

  • Gerontology Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1427676584
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-119942 Issued in AL
Practice address
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone
(334) 305-2085
NPI assigned
Jul 6, 2020
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jdlnp0520@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230113001877 AL Practitioner - Nurse Practitioner 1557732393 Reassigns benefits to 1 organization
I20260123003138 GA Practitioner - Nurse Practitioner 1557732393 Reassigns benefits to 1 organization
I20260211003046 FL Practitioner - Nurse Practitioner 1557732393 Reassigns benefits to 1 organization

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
Wiregrass Wound and Amputation Prevention Center LLCGroup PAC ID 0143623439, 4 clinicians

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

LicenseStateTypeSpecialty
1-119942ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Wound & Amputation Prevention Center, LLC CurrentSince Oct 17, 2022 Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC PastSince Dec 23, 2025 Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC PastSince Oct 17, 2022 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.