Jacksonville Pediatric Associates – Multi-Specialty Clinic/Center, NPI 1003979360

Jacksonville Pediatric Associates is a healthcare provider. based in Springfield, Illinois. specializing in Multi-Specialty Clinic/Center. The NPI Number for Jacksonville Pediatric Associates is 1003979360

Main info

Organization
Name
Jacksonville Pediatric Associates
NPI
1003979360
Phone
(800) 577-5368
Address
PO BOX 3428
Authorized Official
ROBERT T CLARK PRESIDENT AND CEO
Enumeration Date
18 December 2006
Last Update Date
6 March 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Jacksonville Pediatric Associates

  • 3428, South Spring Street, Southern View, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627083428

    Phone: (800) 577-5368

    Fax: (217) 757-2021

    Type: Mailing

  • Passavant Area Hospital, 1600, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626501136

    Phone: (217) 245-5437

    Fax: (217) 243-3113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62708)

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Reviews

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Frequently asked questions

Does Jacksonville Pediatric Associates share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Jacksonville Pediatric Associates uses 1003979360.
Is Jacksonville Pediatric Associates still practicing?
Jacksonville Pediatric Associates is currently listed as active in the public NPI registry.
What taxonomy line describes Jacksonville Pediatric Associates?
For research purposes, treat Jacksonville Pediatric Associates as Multi-Specialty Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What area does Jacksonville Pediatric Associates serve?
Jacksonville Pediatric Associates's listing highlights Springfield, Illinois; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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