Active NPI
Justin Blake Stokes, CRNP
- Family Nurse Practitioner
- Grand Bay, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-148285
- Practice address
- 10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003 - Phone
- (518) 651-8522
- Fax
- (251) 865-1854
- NPI assigned
- Oct 5, 2018
- Last updated
- Aug 30, 2022
- 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 | 1-148285 | AL | Primary |
Addresses
Primary practice location
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Mailing address
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Phone (518) 651-8522
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10067 Grand Bay Wilmer Rd S
Suite 100
Grand Bay, AL 36541-5003
Phone (251) 865-1852
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Phone (251) 865-1852
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| South Alabama Family Care, LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| South Alabama Medical Clinic, LLC | Current | Accepting new patients |
Locations
10067 Grand Bay Wilmer Rd S
#100
Grand Bay, AL 36541
Phone (251) 810-9525
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| South Alabama Family Care, LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (15%) Corporate Officer |
Sep 1, 2024 Sep 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Grand Bay, AL
- NPI 1649028960
5% Or Greater Direct Ownership Interest, Corporate Officer
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Grand Bay, AL
- NPI 1649028960
-
- Rural Health Clinic/Center
- Grand Bay, AL
- NPI 1811288038
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1932674975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 GRAND BAY WILMER RD S",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365415003",
"telephone_number": "518-651-8522",
"fax_number": "251-865-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 GRAND BAY WILMER RD S",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365415003",
"telephone_number": "518-651-8522",
"fax_number": "251-865-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "JUSTIN",
"middle_name": "BLAKE",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-05",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-148285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Bay, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.