OrganizationActive
PC Associates, LLC
NPI 1417260613 · Family Medicine Physician · Columbia, IL
Provider details
- NPI number
- 1417260613
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- PC Associates, LLC
- Organization subpart
- Yes
- Authorized official
- Lisa Mcdonald, Credentialing Coordinator(618) 257-4644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
830 Admiral Weinel Blvd
Columbia, IL 62236-1992
Phone: (618) 281-7373
Fax: (618) 281-6463
Street-level locationGet directions
Mailing address
4500 Memorial Dr
Belleville, IL 62226-5360
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2013-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.