Individual provider Active NPI

Ginger Fewell, M.D.

  • Family Medicine Physician
  • Nashville, IL
National Provider Identifier
1619263647
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.134709 Issued in IL
Practice address
705 S Grand St
Nashville, IL 62263-1534
Phone
(618) 327-2225
NPI assigned
Jun 28, 2011
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.134709 IL Primary

Addresses

Primary practice location

705 S Grand St
Nashville, IL 62263-1534

Mailing address

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-2225

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
I20140618002369 IL Practitioner - Family Practice 6204050933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 S Grand
Nashville, IL 62263-1534

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134709ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital District CurrentSince Jul 15, 2014 Accepting new patients
Washington County Hospital District CurrentSince Jul 15, 2014 Accepting new patients
Washington County Hospital District Past Accepting new patients
Washington County Hospital District Past Accepting new patients

Locations

1245 S Mill St
Nashville, IL 62263
Phone (618) 327-8119

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1619263647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S GRAND ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631534",
            "telephone_number": "618-327-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S GRAND ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631534",
            "telephone_number": "618-327-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEWELL",
        "first_name": "GINGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.134709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

Verify at the official NPI Registry.