Pediatric Group LLC
NPI 1114129970 · Rural Health Clinic/Center · Marion, IL
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Group LLC is a Rural Health Clinic/Center organization in Marion, IL (NPI 1114129970).
Provider details
- NPI number
- 1114129970
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rhonda Fisher, Ceo(618) 993-0404
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 28 Veterans DrHarrisburg, IL 62946-3320Phone: (618) 993-0404Fax: (618) 993-1717
- 310 W Saint Louis StWest Frankfort, IL 62896-2037Phone: (618) 993-0404Fax: (618) 993-1717
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Pediatric Group LLC's NPI number?
- Pediatric Group LLC's National Provider Identifier (NPI) is 1114129970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Group LLC?
- Pediatric Group LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Group LLC located?
- Pediatric Group LLC's practice location on file with NPPES is 3412 Office Park Drive, Marion, IL 62959-1998.
- What is Pediatric Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Group LLC is (618) 993-0404.
- Does Pediatric Group LLC accept Medicare?
- Pediatric Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Group LLC?
- The authorized official listed on Pediatric Group LLC's NPPES record is Rhonda Fisher, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Group LLC's NPI active?
- Yes — Pediatric Group LLC's NPI (1114129970) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.