Otis James Duncan, MA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

300 W Oak St
Carbondale, IL 62901-1400

Phone

(618) 536-6621

NPI assigned

May 9, 2025

Last updated

May 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• O.J. Duncan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1649060815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 E WALNUT ST APT 5-4",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015016",
            "telephone_number": "618-983-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OAK ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011400",
            "telephone_number": "618-536-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "OTIS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "O.J.",
            "last_name": "DUNCAN",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chad Drake
• Laura Dreuth
• Stacey Droll, BAS, CD (DONA)
• Christopher Abbott Dueker, LCPC
• Nina Rose Dunavan, CPM
• Kristen Dunlap-Berg, LSW
• Gail Maclin Durkota, M.S., CCC-SLP
• Michael Robert Durr, D.M.D.
• E Claire Wellness
• Phillip Lynn Easton Sr., R.N.

• Community Health Worker in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.