Organization Active NPI

Priority Integrated Healthcare PC

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1780345041
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIORITY INTEGRATED HEALTHCARE PC
Practice address
1306 N Atchison Ave Ste B
Marion, IL 62959-5426
Phone
(618) 988-6000
Fax
(618) 942-7111
NPI assigned
Jan 7, 2022
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Jeffrey Lange, DCNPI 1730197708
Title
Owner
Phone
(618) 988-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1306 N Atchison Ave Ste B
Marion, IL 62959-5426

Mailing address

1306 N Atchison Ave Ste B
Marion, IL 62959-5426
Phone (618) 988-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230505001166 IL Part B Supplier - Clinic/Group Practice 3779948245 Receives reassigned benefits from 4 practitioners
Practice locations: Marion, IL

National Provider Directory

National Provider Directory

Locations

1306 N Atchison Ave
Marion, IL 62959
Phone (618) 997-9497

1306 N Atchison Ave
#B
Marion, IL 62959
Phone (618) 988-6000

Practitioners & affiliated clinicians

Practitioners 4

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": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1780345041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N ATCHISON AVE STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595426",
            "telephone_number": "618-988-6000",
            "fax_number": "618-942-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N ATCHISON AVE STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595426",
            "telephone_number": "618-988-6000",
            "fax_number": "618-942-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY INTEGRATED HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-988-6000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.