Autumn Marie Lawson

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

24005 S Keith Allen Dr
Elwood, IL 60421-9303

Phone

(815) 716-1822

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Elite Surgical LLC

  • Surgical Physician Assistant
  • Elwood, IL
  • NPI 1699619007
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1114742541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24005 S KEITH ALLEN DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604219303",
            "telephone_number": "815-716-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24005 S KEITH ALLEN DR",
            "city": "ELWOOD",
            "state": "IL",
            "postal_code": "604219303",
            "telephone_number": "815-716-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "AUTUMN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Dragmeier, LPC
• Elite Surgical LLC
• Elwood Fire Protection District
• Michael David Geraci, LCSW
• Charles Kinney Jr.
• Donna Lee Lyle, RN
• Keilene McCants
• McNierney Podiatry, P.C.
• William Francis McNierney Jr., DPM
• Alexandria McNitt, MSW,LSW

• Surgical Physician Assistant in Elwood, IL
• Providers in Elwood, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.