Individual provider Active NPI

Julie Ann Clarke, FNP-C

  • Family Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1912414384
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25993 Issued in SC
Practice address
PO Box 2169
Lexington, SC 29071-2169
Phone
(803) 358-8496
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201709775NP OR
Family Nurse Practitioner 363LF0000X 267045 AZ
Family Nurse Practitioner 363LF0000X 11015286 FL
Family Nurse Practitioner 363LF0000X AP60825540 WA
Family Nurse Practitioner 363LF0000X 201709775NP OR
Family Nurse Practitioner 363LF0000X 60825540 WA
Family Nurse Practitioner 363LF0000X 25993 SC Primary

Addresses

Primary practice location

PO Box 2169
Lexington, SC 29071-2169

Mailing address

619 Amberwood Rd
Pickens, SC 29671-8717
Phone (864) 607-4766

Other practice location 1

5856 Birch Dr
Ferndale, WA 98248-9248
Phone (503) 999-2634

Other practice location 2

1333 Taylor St
Columbia, SC 29201-2923
Phone (803) 296-5914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180817001704 OR Practitioner - Nurse Practitioner 9537418926
I20220708001495 SC Practitioner - Nurse Practitioner 9537418926 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Medical LLCGroup PAC ID 5496056814, 5 clinicians

Practice addresses (Care Compare)

Lexington, SC 29072
Phone (803) 358-8496

15855 Wells Hwy
Seneca, SC 29678-1078
Phone (864) 661-2975

171 Monroe LN
Lexington, SC 29072-3904

320 Camp Rd
Walhalla, SC 29691-4811
Phone (864) 638-5212

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Centerwell Home Health Home health agency, Greenville, SC, CCN 427017
  • Medical Services of America Hospice of the Upstate Hospice, Greenville, SC, CCN 421554
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201709775NPORMDFamily Medicine Physician
267045AZMDFamily Nurse Practitioner
11015286FLMDFamily Nurse Practitioner
60825540WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PH Health Care Services Inc Family Medicine CurrentSince May 7, 2024 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Gateway Medical LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 17, 2025 Accepting new patients
PH Healthcare Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients

Locations

1333 Taylor St
Columbia, SC 29201
Phone (803) 296-5914

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

101 Grace Dr
Easley, SC 29640
Phone (864) 269-3725

171B Monroe Ln
Lexington, SC 29072
Phone (803) 358-6760

171 Monroe Ln
#B
Lexington, SC 29072
Phone (803) 358-8496

Interoperability endpoints

  • Direct secure messaging: jclarke430030@direct.peacehealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: julie.clarke.1@31203.direct.athenahealth.com
  • Direct secure messaging: jclarke835405@direct.ghs.myhfn.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.

Hospital & facility affiliations 7

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1912414384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 AMBERWOOD RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296718717",
            "telephone_number": "864-607-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2169",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290712169",
            "telephone_number": "803-358-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5856 Birch Dr",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982489248",
            "country_code": "US",
            "telephone_number": "503-999-2634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012923",
            "country_code": "US",
            "telephone_number": "803-296-5914",
            "fax_number": "803-296-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "201709775NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60825540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201709775NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60825540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.