Individual provider Active NPI

Nasrah Serwah Acheampong

  • Obstetrics & Gynecology Physician
  • Herrin, IL
National Provider Identifier
1487231122
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36174962 Issued in IL
Practice address
500 Rushing Dr
Herrin, IL 62948-3748
Phone
(618) 998-8808
Fax
(618) 998-8809
NPI assigned
Mar 27, 2021
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 36174962 IL Primary

Addresses

Primary practice location

500 Rushing Dr
Herrin, IL 62948-3748

Mailing address

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

Other practice location 1

305 W Jackson St Ste 402
Carbondale, IL 62901-1474
Phone (618) 998-8808

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
I20250718000819 IL Practitioner - Obstetrics/Gynecology 5294241196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Southern Illinois OB-GYN Associates SCGroup PAC ID 2961478185, 8 clinicians

Practice addresses (Care Compare)

500 Rushing Dr
Herrin, IL 62948-3748
Phone (618) 998-8808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36174962ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince Sep 1, 2025 Accepting new patients
Shawnee Health Service and Development Corp Obstetrics & Gynecology Current Accepting new patients
Southern Illinois OB-GYN Associates, S.C. Obstetrics & Gynecology CurrentSince Sep 2, 2025 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Sep 1, 2025 Accepting new patients
Shawnee Health Service and Development Corp Obstetrics & Gynecology Past Accepting new patients

Locations

101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991

305 W Jackson St
Ste 402
Carbondale, IL 62901
Phone (618) 529-4711

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

500 Rushing Dr
Herrin, IL 62948
Phone (618) 998-8808

1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270

Interoperability endpoints

  • Direct secure messaging: nacheampong85044@sih.direct-ci.com
  • Direct secure messaging: nasrah.acheampong.1@14668.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1487231122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483748",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483748",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jackson St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-998-8808",
            "fax_number": "618-998-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "NASRAH",
        "middle_name": "SERWAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36174962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.