Physician Assistant Group – Physician Assistant, NPI 1053387779

Physician Assistant Group is a healthcare provider. based in Springfield, Illinois. specializing in Physician Assistant. The NPI Number for Physician Assistant Group is 1053387779

Main info

Organization
Name
Physician Assistant Group
NPI
1053387779
Phone
(800) 577-5368
Address
701 N 1ST ST
Authorized Official
ROBERT T CLARKE PRESIDENT AND CEO
Enumeration Date
23 February 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Physician Assistant Group

  • Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States

    SPRINGFIELD, IL 627810001

    Phone: (800) 577-5368

    Fax: (217) 757-2021

    Mailing address matches the actual address.

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 62781)

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Reviews

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Frequently asked questions

How do I look up Physician Assistant Group by NPI?
Use NPI 1053387779 when you need to reference Physician Assistant Group in forms, claims, or directories.
Is Physician Assistant Group's NPI currently valid?
The extract we use shows Physician Assistant Group as active.
What field does Physician Assistant Group work in?
You can think of Physician Assistant Group as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for Physician Assistant Group?
We surface Springfield, Illinois for Physician Assistant Group based on available NPPES addresses.
Is Physician Assistant Group a real provider?
This page reflects official NPPES data for NPI 1053387779. Always confirm identity and privileges with the practice and licensing boards.

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