Active NPI
James G Coleman, PA-C
- Physician Assistant
- Carlyle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004470
- Practice address
- 18209 Eula Mae Pkwy
Carlyle, IL 62231-6407 - Phone
- (618) 594-3671
- Fax
- (618) 594-8058
- NPI assigned
- Sep 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085004470 | IL | Primary |
Addresses
Primary practice location
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Mailing address
2717 Piper Hills Dr
Belleville, IL 62221-3457
Phone (618) 593-3764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085004470 | Other | IL | ILLINOIS STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Southern Illinois University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750
801 W Temple Ave
Effingham, IL 62401-2168
Phone (217) 347-1690
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- Osf Saint Anthony'S Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690
801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1306334198
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1891104824
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1629577812
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- O Fallon, IL
- NPI 1487142022
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1194076208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 PIPER HILLS DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622213457",
"telephone_number": "618-593-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18209 EULA MAE PKWY",
"city": "CARLYLE",
"state": "IL",
"postal_code": "622316407",
"telephone_number": "618-594-3671",
"fax_number": "618-594-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JAMES",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS STATE LICENSE NUMBER",
"identifier": "085004470",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlyle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.