Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PHYSICIANS GROUP ASSOCIATES S C
Active
Organization
PHYSICIANS GROUP ASSOCIATES S C
Active
Parent organization
PHYSICIANS GROUP ASSOCIATES SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS GROUP ASSOCIATES SC
Authorized official
JAMES LAFATA M.D. (PRESIDENT)
(217) 698-9722
Entity
Organization
Contact information
Practice address
2901 OLD JACKSONVILLE ROAD, (LOCALITY 12), SPRINGFIELD, IL 62704
(217) 698-9722
(217) 391-0392
Mailing address
PO BOX 500, CHATHAM, IL 62629-0500
(217) 670-2424
(217) 670-2809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020057300
BLACK LUNG
IL
01
—
08421024
BLUE CROSS BLUE SHIELD
IL
01
—
133586700
ACS-OWCP
IL
01
—
6394P
CATERPILLAR
IL
01
—
CD7143
RR MEDICARE GRP
IL
Enumeration date
07/06/2006
Last updated
09/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up