NPIMap

Organization Active NPI

HSHS Holy Family Hospital Inc

Doing business as Greenville Regional Specialty Physicians

  • Surgery Physician
  • Greenville, IL
National Provider Identifier
1639486889
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0005355 Issued in IL
Legal business name
HSHS HOLY FAMILY HOSPITAL INC
Doing business as
Greenville Regional Specialty Physicians
Practice address
200 Healthcare Drive
Ste 1559
Greenville, IL 62246-1154
Phone
(618) 664-6966
Fax
(618) 664-6971
NPI assigned
Sep 9, 2010
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Ann Bond
Title
System Director-Government Reimb
Phone
(217) 814-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0005355 IL Primary

Addresses

Primary practice location

200 Healthcare Drive
Ste 1559
Greenville, IL 62246-1154

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (618) 664-6966

Other names 1

  • Greenville Regional Specialty Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000198 IL Part B Supplier - Clinic/Group Practice 7517879349 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, IL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fair Oaks Nursing Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1639486889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "618-664-6966",
            "fax_number": "618-664-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTHCARE DRIVE",
            "address_2": "STE 1559",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-6966",
            "fax_number": "618-664-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS HOLY FAMILY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR-GOVERNMENT REIMB",
        "authorized_official_telephone_number": "217-814-4586"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "0005355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Regional Specialty Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenville Regional Specialty Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.