Individual provider · Type 1 NPI
Jerry Priddy, PA-C
Physician Assistant · Springfield, IL
Practice location
619 E Mason St Ste 5
Springfield, IL 62701-1080
Fax (217) 545-2552
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Other practice locations
- 1301 S Koke Mill Rd, Springfield, IL 62711 · (217) 547-9100
- 1301 S Koke Mill Rd, Springfield, IL 62711 · (217) 547-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 085006117 (IL) |
| Physician Assistant Primary | 363A00000X | 085006117 (IL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1003351115
Jerry Priddy, PA-C's National Provider Identifier is 1003351115, issued on Dec 28, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, IL. The record was last updated on Dec 18, 2024.