Individual provider Active NPI

Lori M Guyton, M.D.

  • Neurology Physician
  • Herrin, IL
National Provider Identifier
1295725752
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036094659 Issued in IL
Practice address
3301 Logan Dr
Herrin, IL 62948-3732
Phone
(618) 993-0444
Fax
(618) 998-9302
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036094659 IL Primary

Addresses

Primary practice location

3301 Logan Dr
Herrin, IL 62948-3732

Mailing address

3301 Logan Dr
Herrin, IL 62948-3732
Phone (618) 993-0444

Other identifiers 1

IdentifierTypeStateIssuer
036094659MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000168 IL Practitioner - Neurology 8527032705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200

3301 Logan Dr
Herrin, IL 62948-3732
Phone (618) 993-0444

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as individual
Quality
63.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094659ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology of Southern Illinois, LTD. Neurology CurrentSince Jun 14, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3301 Logan Dr
Herrin, IL 62948
Phone (618) 993-0444

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71952
  • Direct secure messaging: lori.guyton@nsil.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1295725752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483732",
            "telephone_number": "618-993-0444",
            "fax_number": "618-998-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483732",
            "telephone_number": "618-993-0444",
            "fax_number": "618-998-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYTON",
        "first_name": "LORI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036094659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094659",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.