Individual provider Active NPI

Anna Marie Little, MD

  • Pediatrics Physician
  • Carbondale, IL
National Provider Identifier
1982801742
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036129821 Issued in IL
Practice address
400 S Lewis LN
Carbondale, IL 62901-3547
Phone
(618) 519-9900
NPI assigned
Jun 27, 2007
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036129821 IL
Pediatrics Physician 208000000X 036129821 IL Primary

Addresses

Primary practice location

400 S Lewis LN
Carbondale, IL 62901-3547

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-0577
Phone (618) 985-8221

Other identifiers 2

IdentifierTypeStateIssuer
CF3444OtherILMEDICARE RR
370966854024MedicaidIL

Other names 1

  • Anna Marie Cutting Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.little.1@14668.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000723 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2567633779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 S Division St
Carterville, IL 62918-1539
Phone (618) 985-4841

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 942-2171

400 S Lewis LN
Carbondale, IL 62901-3547
Phone (618) 519-9900

404 S Lewis LN
Carbondale, IL 62901-3547
Phone (618) 519-9200

7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 687-3418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince Sep 3, 2013 Accepting new patients
Shawnee Health Service and Development Corp Pediatrics Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Sep 3, 2013 Accepting new patients
Community Health & Emergency Services, Inc. Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Community Health & Emergency Services, Inc. PastSince Sep 1, 2013 Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients

Locations

1025 N Wall St
Rm 102
Carbondale, IL 62901

1150 E Grand Ave
Rm 127
Carbondale, IL 62901

121 N Parrish Ln
Rm 123
Carbondale, IL 62901

1301 E Walnut St
Rm K107
Carbondale, IL 62901

400 S Lewis Ln
Carbondale, IL 62901
Phone (618) 519-9900

404 S Lewis Ln
Carbondale, IL 62901
Phone (618) 319-4076

801 S Lewis Ln
Rm 153
Carbondale, IL 62901

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

109 California St
Carterville, IL 62918
Phone (618) 985-8221

1700 Wildcat Dr
Ste A
Marion, IL 62959
Phone (618) 969-8228

Interoperability endpoints

  • Direct secure messaging: anna.little.1@14668.direct.athenahealth.com

Organizations & group practices 8

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1982801742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-985-8221",
            "fax_number": "618-985-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LEWIS LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013547",
            "telephone_number": "618-519-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036129821",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036129821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CF3444",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370966854024",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.little.1@14668.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 S Lewis Ln",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629013547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CUTTING",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.