Individual provider Active NPI

Joshua Wayne Bankston

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1609418342
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-159330 Issued in AL
Practice address
809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone
(205) 759-7122
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-159330 AL Primary

Addresses

Primary practice location

809 University Blvd E
Tuscaloosa, AL 35401-2029

Mailing address

233 Blue Water Pointe Dr
Jasper, AL 35504-4075
Phone (205) 387-4148

Other practice location 1

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Other practice location 2

1000 1st St N
Alabaster, AL 35007-8703
Phone (205) 620-8100

Other practice location 3

3400 Highway 78 E
Jasper, AL 35501-8956
Phone (205) 387-4148

Other identifiers 1

IdentifierTypeStateIssuer
224805MedicaidAL

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
I20200121000553 AL Practitioner - Nurse Practitioner 6901231935 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Medical Alabama LLC 24 clinicians
Alteon Health Alabama, LLC 38 clinicians

Practice addresses (Care Compare)

1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (240) 686-2300

3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (240) 686-2300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Northport, LLC CurrentSince Dec 2, 2019 Accepting new patients
Medcenter Fayette, LLC CurrentSince Dec 8, 2024 Accepting new patients
Alteon Health Alabama, LLC CurrentSince Jan 4, 2020 Accepting new patients
Tuscaloosa Medcenter North, LLC CurrentSince Mar 17, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC CurrentSince Dec 2, 2019 Accepting new patients
Island Medical Alabama LLC CurrentSince Jul 1, 2021 Accepting new patients
Baptist Health Centers, LLC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1609418342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BLUE WATER POINTE DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355044075",
            "telephone_number": "205-387-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111303",
            "country_code": "US",
            "telephone_number": "205-783-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 1st St N",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078703",
            "country_code": "US",
            "telephone_number": "205-620-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Highway 78 E",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355018956",
            "country_code": "US",
            "telephone_number": "205-387-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "JOSHUA",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-159330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.