Active NPI
Joshua Dane Clarke, CRNP
- Family Nurse Practitioner
- Saraland, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-133045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230609001781 | AL | Practitioner - Nurse Practitioner | 7315304102 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- Quality
- 65.59
- Improvement activities
- 40
- Cost
- 64.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-133045 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gmuc of Citronelle LLC | Current | Accepting new patients | |
| Gmuc of Saraland | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Current | Accepting new patients | |
| Gmuc of Springhill LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Semmes, AL
- NPI 1275848095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.