Tamara Collard, P.A.
Individual provider Active NPI Physician Assistant · Du Quoin, IL
NPI 1508960915 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1508960915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-001366 (IL)
- Practice address
- 1564 S Washington St
Du Quoin, IL 62832-3849 - Phone
- (618) 542-8702
- Fax
- (618) 542-8792
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher Greater Area Rural Health Planning Corporation
Practice addresses (Care Compare)
1564 S Washington St
Du Quoin, IL 62832-3849
Phone (618) 542-8702
Hospital & facility affiliations
- Residential Home Health of Southern Illinois, LLC
- LHC-Illinois Home Health Care
- Marshall Browning Hospital
- Memorial Hospital of Carbondale
- Herrin Hospital
- Pinckneyville Community Hospital
- Heartland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040617000027 | IL | Practitioner - Physician Assistant | 8123002052 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-001366 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Greater Area Rural Health Planning Corporation | Physician Assistant | Current |
Accepting new patients |
| Christopher Greater Area Rural Health Planning Corporation | Current |
Accepting new patients | |
| Christopher Greater Area Rural Health Planning Corporation | Past | Accepting new patients | |
| Southern Illinois Medical Care Associates LLC | Past | Accepting new patients | |
| Christopher Greater Area Rural Health Planning Corporation | Physician Assistant | Past | Accepting new patients |
Locations
4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684
4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136
1564 S Washington St
Du Quoin, IL 62832
Phone (618) 542-8702
14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409
2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544
6294 State Highway 154
Sesser, IL 62884
Phone (618) 625-6679
Interoperability endpoints
- tamara.collard@crhpc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-001366 | IL | Yes |
Addresses
Primary practice location
1564 S Washington St
Du Quoin, IL 62832-3849
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401
Other names
- Tamara Edwards
Other providers in Du Quoin, IL
- Christopher Greater Area Rural Health Planning Corporation
- Macie M Clark
- Lexandra Cobin
- Douglas R Cochran
- Carilyn Fay Coke
- Kathleen Cox-Palmer
- Lindsey Cox
- Craig W. Furry
- Chelsea Lynn Crisp
- Tonya Danner
All providers in Du Quoin, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.