Greenville Regional Specialty Physicians – Surgery Physician, NPI 1639486889

Greenville Regional Specialty Physicians is a healthcare provider. based in Greenville, Illinois. specializing in Surgery Physician. The organization holds a License No. 0005355 (IL). The NPI Number for Greenville Regional Specialty Physicians is 1639486889

Main info

Organization
Name
Greenville Regional Specialty Physicians
NPI
1639486889
Phone
(618) 664-6966
Address
200 HEALTHCARE DRIVE
Authorized Official
ANN BOND SYSTEM DIRECTOR-GOVERNMENT REIMB
Enumeration Date
9 September 2010
Last Update Date
21 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness90
Years active:15State licenses:1Digital endpoints

Provider Addresses for Greenville Regional Specialty Physicians

  • 200 HEALTHCARE DRIVE

    GREENVILLE, IL 622461154

    Phone: (618) 664-6966

    Fax: (618) 664-6971

    Type: Mailing

  • 3051 HOLLIS DR

    SPRINGFIELD, IL 627047450

    Phone: (618) 664-6966

    Fax: (618) 664-6971

    Type: Mailing

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 62246)

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Reviews

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Frequently asked questions

Is there an official ID for Greenville Regional Specialty Physicians in U.S. healthcare records?
The official identifier for Greenville Regional Specialty Physicians is NPI 1639486889.
Active or inactive — what applies to Greenville Regional Specialty Physicians?
You should see Greenville Regional Specialty Physicians as active in CMS-hosted NPPES data.
How would a patient describe Greenville Regional Specialty Physicians's focus?
For Greenville Regional Specialty Physicians, the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Greenville Regional Specialty Physicians registered?
Use Greenville, Illinois as the headline location for Greenville Regional Specialty Physicians here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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