Individual provider Active NPI

Jessica Nicole Bean King

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1487351409
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-154938 Issued in AL
Practice address
1118 Ross Clark Cir Ste 600
Dothan, AL 36301-3042
Phone
(334) 793-3900
Fax
(334) 793-5227
NPI assigned
Feb 9, 2023
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-154938 AL Primary
Emergency Registered Nurse 163WE0003X 1-154938 AL

Addresses

Primary practice location

1118 Ross Clark Cir Ste 600
Dothan, AL 36301-3042

Mailing address

1118 Ross Clark Cir Ste 600
Dothan, AL 36301-3042
Phone (334) 793-3900

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
I20230511001031 AL Practitioner - Nurse Practitioner 9830555143 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Medical Center, PCGroup PAC ID 7416976188, 7 clinicians
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3102
Phone (334) 793-3900

2445 Murphy Mill Rd
Dothan, AL 36303-1595
Phone (334) 677-6001

606 Boll Weevil Cir
A
Enterprise, AL 36330-2734
Phone (334) 475-2462

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.86 of 100Reported as group
Quality
6.09
Improvement activities
40
Cost
81.25

Merit-based Incentive Payment System (MIPS)

Final score
86.11 of 100Reported as group
Quality
76.8
Improvement activities
40
Cost
74.38

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Medical Solutions of Ozark, PL CurrentSince Jul 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 4, 2024 Accepting new patients
Women's Medical Center, PC CurrentSince Nov 1, 2025 Accepting new patients
App of Alabama Ed PLLC CurrentSince May 2, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 4, 2024 Accepting new patients
Keystone Medical Services of Alabama, Inc. CurrentSince May 31, 2023 Accepting new patients

Locations

1118 Ross Clark Cir
Ste 60
Dothan, AL 36301

1118 Ross Clark Cir
Ste 600
Dothan, AL 36301
Phone (334) 793-3900

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.king.1@20335.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1487351409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013042",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013042",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JESSICA",
        "middle_name": "NICOLE BEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-154938",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-154938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.