Individual provider Active NPI

Joseph Daniel Southern, FNP-C

  • Family Nurse Practitioner
  • Sheffield, AL
National Provider Identifier
1528667995
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08200580 Issued in AL
Practice address
1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone
(256) 383-4447
Fax
(256) 381-7999
NPI assigned
Oct 18, 2020
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 F08200580 AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773

Mailing address

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660-5773
Phone (256) 335-5345

Other practice location 1

1106 N Cave St
Tuscumbia, AL 35674-1358
Phone (256) 386-7774

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
I20210123000104 AL Practitioner - Nurse Practitioner 4284048752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of the Shoals, P.C.Group PAC ID 1456317833, 24 clinicians
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians

Practice addresses (Care Compare)

1106 N Cave St
Tuscumbia, AL 35674-1358
Phone (256) 386-7774

15225 Hwy 43
Suite I
Russellville, AL 35653-1969
Phone (256) 331-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.3 of 100Reported as individual
Quality
89.2
Promoting interoperability
100
Improvement activities
40
Cost
81.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08200580ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Shoals, P.C. CurrentSince Jan 4, 2021 Accepting new patients
Russellville Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

1106 N Cave St
Tuscumbia, AL 35674
Phone (256) 386-0558

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

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.

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1528667995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-335-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N Cave St",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356741358",
            "country_code": "US",
            "telephone_number": "256-386-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHERN",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-18",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F08200580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.