Individual provider Active NPI

Joseph Earl Conklin Jr., M.D.

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1942663695
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38696 Issued in AL
Practice address
4401 Riverchase Dr
Phenix City, AL 36867-7483
Phone
(334) 732-3242
NPI assigned
Mar 31, 2016
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 79876 GA
Family Medicine Physician 207Q00000X ME163761 FL
Family Medicine Physician 207Q00000X 38696 AL Primary

Addresses

Primary practice location

4401 Riverchase Dr
Phenix City, AL 36867-7483

Mailing address

4401 Riverchase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190620000302 GA Practitioner - Emergency Medicine 1850685017 Reassigns benefits to 3 organizations
I20200227000302 AL Practitioner - Family PracticePractitioner - Emergency Medicine 1850685017 Reassigns benefits to 2 organizations
I20231115001447 FL Practitioner - Family Practice 1850685017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Physician Services LLCGroup PAC ID 6305100850, 33 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

4401 Riverchase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38696ALMDFamily Medicine Physician
ME163761FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Apr 15, 2019 Accepting new patients
Nes Tennessee Inc CurrentSince Apr 1, 2020 Accepting new patients
Lake Oliver Emergency Group, LLC CurrentSince Oct 24, 2023 Accepting new patients
Correct Care, Inc. CurrentSince Jan 23, 2025 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Apr 15, 2019 Accepting new patients
United Emergency Services, Inc. CurrentSince Nov 9, 2019 Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Lake Oliver Emergency Group, LLC CurrentSince Oct 24, 2023 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Russell County Community Hospital LLC Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

898 College St
Monticello, GA 31064
Phone (706) 468-0988

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jconklin@yourcarecommunity.org

Organizations & group practices 10

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 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1942663695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 RIVERCHASE DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677483",
            "telephone_number": "334-732-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 RIVERCHASE DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677483",
            "telephone_number": "334-732-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "JOSEPH",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "79876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME163761",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "38696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.