Individual provider Active NPI

Joshua Dane Clarke, CRNP

  • Family Nurse Practitioner
  • Saraland, AL
National Provider Identifier
1609580604
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-133045 Issued in AL
Practice address
1097 Industrial Pkwy
Saraland, AL 36571-3744
Phone
(251) 375-2270
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 1-133045 AL Primary

Addresses

Primary practice location

1097 Industrial Pkwy
Saraland, AL 36571-3744

Mailing address

9478 Sir Brutus CT
Mobile, AL 36695-6950
Phone (251) 490-1838

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
I20230609001781 AL Practitioner - Nurse Practitioner 7315304102 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

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

State licenses

LicenseStateTypeSpecialty
1-133045ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Citronelle LLC CurrentSince Oct 1, 2025 Accepting new patients
Gmuc of Saraland CurrentSince Oct 1, 2025 Accepting new patients
Greater Mobile Urgent Care CurrentSince Oct 1, 2025 Accepting new patients
Greater Mobile Urgent Care CurrentSince Oct 1, 2025 Accepting new patients
Gmuc of Springhill LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Interoperability endpoints

  • Direct secure messaging: ms_jclar228@landmarkhealth-direct.org

Organizations & group practices 5

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1609580604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9478 SIR BRUTUS CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366956950",
            "telephone_number": "251-490-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 INDUSTRIAL PKWY",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713744",
            "telephone_number": "251-375-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JOSHUA",
        "middle_name": "DANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

Verify at the official NPI Registry.