Jodi L Bryant (NPI# 1508848284, PAC ID# 4587654140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508848284 |
| PAC ID by PECOS | 4587654140 |
| Professional Enrollment ID | I20060208000431 |
| Full Name | Jodi L Bryant |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
2700 W Deyoung St Marion IL 62959-4943 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557376993 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| Address | Phone | Organization |
|---|---|---|
| 2700 W Deyoung St, Marion, IL 62959-4943 | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC | |
| 3411 Professional Park Dr, Marion, IL 62959-6394 | 6189972161 | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 3% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Raye Heatherly | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 106 S Vicksburg St, Marion, IL 62959-1930 |
| Robin Dailey | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 406 W Saint Louis St, West Frankfort, IL 62896-1956 |
| Robert M Swayze | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 1306 N Russell St, Marion, IL 62959-4570 |
| Suzanne Mary Burge | Family Medicine | Southern Illinois Medical Care Associates LLC | 3411 Professional Park Dr, Marion, IL 62959-6394 |
| Sherri K Parr | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Jamie L Hitt | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 3331 W Deyoung St, Suite 302, Marion, IL 62959-5708 |
| Lisa K Schloemann | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Jack D Keller | Family Medicine | Southern Illinois Medical Care Associates LLC | 1008 W Cherry St, Suite F, Marion, IL 62959-1998 |
| Amy Blandford | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Nicholas Kyle Shockley | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Street Address |
2700 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip | 62959-4943 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri K Parr | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Lisa K Schloemann | Physician Assistant | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Marion, IL 62959-4943 |
| Amy Blandford | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Nicholas Kyle Shockley | Nurse Practitioner | Southern Illinois Medical Care Associates LLC | 2700 W Deyoung St, Suite G, Marion, IL 62959-4950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M White | Chiropractic | 1603 W Kimmel, Marion, IL 62959 | |
| Elizabeth E Lawler | Endocrinology | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Michael P Lawler | Internal Medicine | 1129 N Carbon St, Suite 3, Marion, IL 62959-1068 | |
| James T Lawler | Internal Medicine | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Shirley George | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| Aaron M Morehead | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| William P Hess Sr. | Podiatry | 1506 W Main St, Marion, IL 62959-1144 | |
| Gary S Karnes | Chiropractic | 1716 W Main, Marion, IL 62959-1148 | |
| Steven C Blandford | Chiropractic | 1716 Main St, Marion, IL 62959-1148 | |
| Mark D Whitehead | Chiropractic | 2103 W Main, Marion, IL 62959-1163 | |
| Find all physicians in zip 62959 | |||
| City | MARION |
| Zip Code | 62959 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARION + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.