NPIMap

Individual provider Active NPI

Amanda L. Meeks, M.D.

  • Family Medicine Physician
  • Petersburg, IL
National Provider Identifier
1760457261
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
1 Centre Dr
Petersburg, IL 62675-9584
Phone
(217) 632-7761
Fax
(217) 632-0312
NPI assigned
Feb 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

1 Centre Dr
Petersburg, IL 62675-9584

Mailing address

1 Centre Dr
Petersburg, IL 62675-9584
Phone (217) 632-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000951 IL Practitioner - Family PracticePractitioner - Emergency Medicine 0648173807 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epss LLC - East SeriesGroup PAC ID 8729213459, 11 clinicians
Mason Hospital DistrictGroup PAC ID 2466360607, 41 clinicians

Practice addresses (Care Compare)

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

615 N Promenade St
Havana, IL 62644-1243
Phone (309) 543-8510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110458ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Hospital District CurrentSince Sep 1, 2018 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Jun 10, 2010 Accepting new patients
City of Clinton CurrentSince Oct 18, 2018 Accepting new patients
Mason Hospital District CurrentSince Sep 1, 2018 Accepting new patients
City of Clinton CurrentSince Oct 18, 2018 Accepting new patients
Mason Hospital District Current Accepting new patients
K M B S C Current Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

615 N Promenade St
Havana, IL 62644
Phone (309) 543-4431

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

Organizations & group practices 9

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 4

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760457261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTRE DR",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626759584",
            "telephone_number": "217-632-7761",
            "fax_number": "217-632-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTRE DR",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626759584",
            "telephone_number": "217-632-7761",
            "fax_number": "217-632-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "AMANDA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IL

Sources for this page

Verify at the official NPI Registry.