Southern Illinois Primary Care Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

060008906 Issued in IL

Legal business name

SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.

Practice address

103 Commerce St
Carmi, IL 62821-2223

Phone

(618) 842-4470

Fax

(618) 842-3437

NPI assigned

Apr 4, 2006

Organization subpart

Yes

Parent organization

SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Cathy L Harte

Title

Director of Business/Corp Secretary

Phone

(618) 842-4470

Specialties & licenses 6

Addresses

Part of

Southern Illinois Primary Care Associates PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern Illinois Primary Care Associates, P.C.

  • Family Medicine Physician
  • Fairfield, IL
  • NPI 1144405291
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry A Carter, M.D.

  • Family Medicine Physician
  • Flora, IL
  • NPI 1538165261
  NPD (past)
• Jed W Jones, D.O.

  • Pediatrics Physician
  • Fairfield, IL
  • NPI 1740287226
  NPD (past)
• Steven C Mitchell, M.D.

  • Family Medicine Physician
  • Fairfield, IL
  • NPI 1972500460
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1154383370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371218",
            "telephone_number": "618-842-4470",
            "fax_number": "618-842-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMERCE ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628212223",
            "telephone_number": "618-842-4470",
            "fax_number": "618-842-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "HARTE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS/CORP SECRETARY",
        "authorized_official_telephone_number": "618-842-4470"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "060008906",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "060008906",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "060008906",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "060008906",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "060008906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "060008906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel A Sinclair, NP
• Fred L Smith, DC
• Jerica Sneed
• Mary Ann South-Gross
• Southeastern Illinois Center for Pastoral Counseling
• Jordon Andrew Sowders
• Sarah Spicer, LCSW
• Shawn Stanley, PT
• Candice N Stocke
• Jesica Stratton, RN

• Family Medicine Physician in Carmi, IL
• Providers in Carmi, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.