Individual provider Active NPI

Justin Blake Stokes, CRNP

  • Family Nurse Practitioner
  • Grand Bay, AL
National Provider Identifier
1932674975
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-148285 Issued in AL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 1-148285 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923003183 AL Practitioner - Nurse Practitioner 7517386691 Reassigns benefits to 3 organizations

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
South Alabama Family Care, LLCGroup PAC ID 0042754715, 8 clinicians
South Alabama Medical Clinic, LLCGroup PAC ID 0345428363, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Aug 17, 2020 Accepting new patients
South Alabama Family Care, LLC CurrentSince Jun 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Aug 17, 2020 Accepting new patients
South Alabama Medical Clinic, LLC CurrentSince Oct 20, 2020 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.

FacilityTypeRoleSince
South Alabama Family Care, LLCGrand Bay, AL, CCN 018984 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.

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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.