NPIMap

Individual provider Active NPI

Hunter Kavin Clark, CRNP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1932588241
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-117714 Issued in AL
Practice address
1500 Ross Clark Cir
Dothan, AL 36301-4754
Phone
(334) 793-2663
Fax
(334) 836-2248
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5020785 NC
Nurse Practitioner 363L00000X 10020761 OR
Nurse Practitioner 363L00000X 1-117714 AL Primary

Addresses

Primary practice location

1500 Ross Clark Cir
Dothan, AL 36301-4754

Mailing address

PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663

Other practice location 1

2821 Daggett Ave Ste 201
Klamath Falls, OR 97601-1129
Phone (541) 274-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, SD, OR, WA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20151001002378 AL Practitioner - Nurse Practitioner 6002124542 Reassigns benefits to 4 organizations
I20180810001960 GA Practitioner - Nurse Practitioner 6002124542 Reassigns benefits to 1 organization
I20250819003609 SD Practitioner - Nurse Practitioner 6002124542 Reassigns benefits to 1 organization
I20260116002619 OR Practitioner - Nurse Practitioner 6002124542 Reassigns benefits to 1 organization
I20260116003266 WA Practitioner - Nurse Practitioner 6002124542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595

202 NW 13TH Ave
Portland, OR 97209-2953
Phone (864) 664-3984

2510 Columbia House Blvd
Suite 107
Vancouver, WA 98661-7763
Phone (864) 664-3984

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Medical Solutions of Ozark, PL CurrentSince Jan 5, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Keystone Medical Services of Alabama, Inc. CurrentSince Jun 1, 2022 Accepting new patients
App of Alabama Ed PLLC CurrentSince Mar 1, 2020 Accepting new patients
Dale Medical Center CurrentSince Jul 8, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Apr 1, 2018 Accepting new patients
Dale Medical Center CurrentSince Jul 8, 2016 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Jan 5, 2026 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

145 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5116

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1519 Andrews Ave
Ozark, AL 36360
Phone (334) 774-7610

633 S Union Ave
Ozark, AL 36360
Phone (334) 774-7572

218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

10221 SE Sunnyside Rd
Clackamas, OR 97015

2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671

202 NW 13th Ave
Portland, OR 97209
Phone (971) 998-1011

2990 Commercial St SE
Ste 160
Salem, OR 97302

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

2510 Columbia House Blvd
Ste 107
Vancouver, WA 98661

Interoperability endpoints

  • Direct secure messaging: hclark1615306@direct.novanthealth.org

Organizations & group practices 11

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1932588241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020729",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014754",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Daggett Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011129",
            "country_code": "US",
            "telephone_number": "541-274-3150",
            "fax_number": "541-274-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HUNTER",
        "middle_name": "KAVIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020785",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10020761",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-117714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.