Active NPI
Logan Michael Barkley, PA-C
- Physician Assistant
- Rock Island, IL
National Provider Identifier
1003421603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10650
- Practice address
- 2560 24TH St Ste 201
Rock Island, IL 61201-5390 - Phone
- (309) 779-3111
- NPI assigned
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0010-10650 | NC | Primary |
Addresses
Primary practice location
2560 24TH St Ste 201
Rock Island, IL 61201-5390
Mailing address
2650 Warrenville Rd Ste 280
Downers Grove, IL 60515-2075
Phone (630) 324-7934
Other practice location 1
2153 Valleygate Dr Ste 101
Fayetteville, NC 28304-3667
Phone (910) 672-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-4111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-10, LLC | Single Specialty | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Vidant Medical Group LLC | Single Specialty | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Interoperability endpoints
- lbarkley127169@firsthealth.direct-ci.net
- lbarkley217415@direct.edward.org
- lbarkley133672@capefearvalley.direct-ci.com
Organizations & group practices 5
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pinehurst, NC
- NPI 1457600504
Single Specialty
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
Single Specialty
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Surgery Physician
- Fayetteville, NC
- NPI 1184330052
-
- Hospitalist Physician
- Dunn, NC
- NPI 1124426804
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Fayetteville, NC
- NPI 1982607115
Long-term care hospital
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1003421603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 WARRENVILLE RD STE 280",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152075",
"telephone_number": "630-324-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 24TH ST STE 201",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015390",
"telephone_number": "309-779-3111"
}
],
"practiceLocations": [
{
"address_1": "2153 Valleygate Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043667",
"country_code": "US",
"telephone_number": "910-672-0350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKLEY",
"first_name": "LOGAN",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.