Logan Primary Care
NPI 1902094352 · Primary Care Nurse Practitioner · Herrin, IL
Logan Primary Care is a Primary Care Nurse Practitioner organization in Herrin, IL (NPI 1902094352).
Provider details
- NPI number
- 1902094352
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tara Deaton, Administrator(618) 997-3400
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2007-10-11
Frequently asked questions
- What is Logan Primary Care's NPI number?
- Logan Primary Care's National Provider Identifier (NPI) is 1902094352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Primary Care?
- Logan Primary Care is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Logan Primary Care located?
- Logan Primary Care's practice location on file with NPPES is 405 Rushing Dr, Herrin, IL 62948-3730.
- What is Logan Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Logan Primary Care is (618) 993-3300.
- Who is the authorized official for Logan Primary Care?
- The authorized official listed on Logan Primary Care's NPPES record is Tara Deaton, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Primary Care's NPI active?
- Yes — Logan Primary Care's NPI (1902094352) is active in the NPPES registry as of the last update on 2007-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.