Allison Magnuson, MD
Individual provider Active NPI Anesthesiology Physician · Carbondale, IL
NPI 1659751998 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1659751998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 247163 (TN)
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- Fax
- (618) 529-0449
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Tulane University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Illinois, LLC
G and G Anesthesia LLC
Practice addresses (Care Compare)
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
3333 W Deyoung St
Suite 62959
Marion, IL 62959-5884
Phone (618) 998-7000
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Heartland Regional Medical Center
- St Joseph Memorial Hospital
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190912000197 | IL | Practitioner - Anesthesiology | 6204187586 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Anesthesia LLC | Current |
Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current |
Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
405 W Jackson St
#Sih
Carbondale, IL 62901
Phone 6185490721 ext. 65137
405 W Jackson St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
201 S 14th St
#Sih
Herrin, IL 62948
Phone 6189422171 ext. 65137
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
2 S Hospital Dr
#Sih
Murphysboro, IL 62966
Phone 6186843156 ext. 65137
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Interoperability endpoints
- amagnuson27195@sih.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036150083 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 247163 | TN | Yes |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-5368
Other practice location 1
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-5368
Other practice location 2
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 65137
Other practice location 3
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 65137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MEDICARE MULTISPECIALTY GROUP PTAN |
Other names
- Allison Pratt Davis
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amagnuson27195@sih.direct-ci.com | ||
| Direct Messaging Address | amagnuson27195@sih.direct-ci.com | ||
| Direct Messaging Address | amagnuson27195@sih.direct-ci.com |
NPI Registry JSON
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1659751998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-5368",
"fax_number": "865-305-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0449"
}
],
"practiceLocations": [
{
"address_1": "1924 Alcoa Hwy",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201511",
"country_code": "US",
"telephone_number": "865-305-5368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156 x65137",
"fax_number": "618-529-0529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x65137",
"fax_number": "618-351-4919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGNUSON",
"first_name": "ALLISON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036150083",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "247163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MULTISPECIALTY GROUP PTAN",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amagnuson27195@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"address_2": "SIH Medical Group Anesthesiology",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amagnuson27195@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"address_2": "SIH Medical Group Anesthesia",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amagnuson27195@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"address_2": "SIH Medical Group Anesthesia",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "PRATT DAVIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carbondale, IL
- Kellie J Lustenberger
- Darlene S Lutchka
- William Lyman
- Mary C Lyons
- Emily Margaret Macdonald
- Zubin Ajay Mahajan
- Zahoor A Makhdoom
- Andrew Makowski
- Gurveen Pal Singh Malhotra
- Adedoyin Idayat Malik
All providers in Carbondale, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 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.