Individual provider Active NPI

Joshua Jermaine Newsome, CRNP

  • Gerontology Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1932997749
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-136612 Issued in AL
Practice address
100 Perry Hill Rd Ste 575
Montgomery, AL 36109-3630
Phone
(256) 470-3037
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-136612 AL Primary

Addresses

Primary practice location

100 Perry Hill Rd Ste 575
Montgomery, AL 36109-3630

Mailing address

100 Perry Hill Rd Ste 575
Montgomery, AL 36109-3630
Phone (256) 470-3037

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
I20250826004187 AL Practitioner - Nurse Practitioner 5698275295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Select LLCGroup PAC ID 1153716170, 7 clinicians

Practice addresses (Care Compare)

100 Perry Hill Rd
Suite 575
Montgomery, AL 36109-3630
Phone (334) 290-9333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-136612ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Select LLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

750 AL Highway 75 N
Albertville, AL 35951
Phone (253) 362-4197

22444 US Highway 431
Guntersville, AL 35976
Phone (256) 289-3946

100 Perry Hill Rd
Ste 575
Montgomery, AL 36109
Phone (334) 290-9333

616 Chaffee St
Talladega, AL 35160
Phone (256) 362-0291

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25773/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1932997749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERRY HILL RD STE 575",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093630",
            "telephone_number": "256-470-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERRY HILL RD STE 575",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093630",
            "telephone_number": "256-470-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "JOSHUA",
        "middle_name": "JERMAINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-136612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.