Active NPI
Southern Illinois Associates LLC
- Psychiatry Physician
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SOUTHERN ILLINOIS ASSOCIATES LLC
- Practice address
- 6805 State Route 162 Ste 201
Maryville, IL 62062-8530 - Phone
- (618) 288-5019
- Fax
- (618) 288-5059
- NPI assigned
- Jul 13, 2006
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjay Nigam, MD
- Title
- President
- Phone
- (618) 288-5019
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
6805 State Route 162 Ste 201
Maryville, IL 62062-8530
Mailing address
6805 State Route 162 Ste 201
Maryville, IL 62062-8530
Phone (618) 288-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2225919 | Southern Illinois Associates LLC | Certificate of waiver | May 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
450 W 1st St
Aviston, IL 62216
Phone (218) 228-7615
512 S Franklin St
Bunker Hill, IL 62014
Phone (618) 585-4875
1121 University Dr
Ste 4
Edwardsville, IL 62025
Phone (618) 659-8706
7325 Marine Rd
Edwardsville, IL 62025
Phone (618) 307-5816
16 Junction Dr W
#2
Glen Carbon, IL 62034
Phone (618) 288-5019
241 Magnolia Dr
Glen Carbon, IL 62034
Phone (618) 288-1863
6805 Highway 162
#201
Maryville, IL 62062
Phone (618) 288-5019
6805 State Route 162
#201
Maryville, IL 62062
Phone (618) 288-5019
6805 State Route 162
Ste 101
Maryville, IL 62062
Phone (618) 205-3285
6955 State Route 162
Maryville, IL 62062
Phone (618) 288-3800
901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183
1924 Sra Bradley R Smith Dr
#A
Troy, IL 62294
Phone (618) 667-2025
Interoperability endpoints
- https://api.platform.athenahealth.com/17590/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AFHDDD
Practitioners & affiliated clinicians
Practitioners 21
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.
-
- Psychiatry Physician
- Maryville, IL
- NPI 1942278973
-
- Mental Health Counselor
- Maryville, IL
- NPI 1821112335
-
- Psychiatric/Mental Health Nurse Practitioner
- Litchfield, IL
- NPI 1881387660
-
- Clinical Social Worker
- Glen Carbon, IL
- NPI 1346482494
-
- Clinical Social Worker
- Maryville, IL
- NPI 1558598102
-
- Counselor
- Maryville, IL
- NPI 1417459173
-
- Clinical Social Worker
- Maryville, IL
- NPI 1932419710
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1760052310
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1801782404
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1689915811
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1194538074
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1518810852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1962427856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 STATE ROUTE 162 STE 201",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628530",
"telephone_number": "618-288-5019",
"fax_number": "618-288-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6805 STATE ROUTE 162 STE 201",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628530",
"telephone_number": "618-288-5019",
"fax_number": "618-288-5059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ILLINOIS ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "NIGAM",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-288-5019",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
- Sujata Sitaula, MD
- Gregory Edward Skelly, PT, DPT
- Deborah A Slemer, M.S, CCC-SLP
- Kolin Smith, B.S. CADC
- Jessica Marie Soens, RN
- Southern Illinois Chiropractic Center
- Southern Illinois Surgical Consultants S.C.
- Michael Southwick, CRNA
- Spinally Better, LLC (Spinally Better Chiropractic)
- SPS Surgical Services, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.