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QUINCY MEDICAL GROUP BARRY AFFILIATE
NPI 1013981547
Clinic/Center - Rural Health in Barry, IL

Active since February 13, 2006CLIA Certified · 3 labs
868 MORTIMER ST, BARRY, IL 62312(217) 335-2343 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quincy Medical Group Barry Affiliate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINCY MEDICAL GROUP BARRY AFFILIATE (NPI 1013981547) is a healthcare organization registered as a rural health in Barry, Illinois and active in the NPI registry since February 2006. The organization holds 3 active CLIA laboratory certificates and lists Patricia A. Williamson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013981547
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameQUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Location Address868 MORTIMER STBarry, IL 62312-1249
Mailing Address868 Mortimer StBarry, IL 62312-1249 · (217) 335-2343
Phone(217) 335-2343
Organization SubpartYes
Authorized OfficialPatricia A. WilliamsonCfo · (217) 222-6550
Enumeration DateFebruary 13, 2006
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1013981547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
868 MORTIMER ST, Barry, IL 62312
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Other Names 1

Doing Business AsQuincy Medical Group Barry Affiliate

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D2117221

Quincy Medical Group · Quincy, IL
Active · expires Dec 13, 2026
CLIA Number14D2117221
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorSumul A. Gandhi
Laboratory Phone(217) 222-6550
Laboratory LocationQuincy Medical Group1025 Maine, Quincy, IL 62301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2330113

Quincy Medical Group Birth Center · Quincy, IL
Active · expires Sep 9, 2027
CLIA Number14D2330113
Laboratory TypeBirth Center
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorKaty M. Wand
Laboratory Phone(217) 222-6550
Laboratory LocationQuincy Medical Group Birth Center3301 Broadway St, Quincy, IL 62301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 14D0044738

Quincy Medical Group Laboratory · Quincy, IL
Active · expires Aug 11, 2026
CLIA Number14D0044738
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Richard R. Anderson
Laboratory Phone(217) 222-6550
Laboratory LocationQuincy Medical Group Laboratory1101 Maine St - 3rd Fl - Support Services Bldg, Quincy, IL 62301
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D2010201

Quincy Medical Group - Family Practice · Quincy, IL
Expired · Jul 21, 2026
CLIA Number14D2010201
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 22, 2024
Certificate Expiration DateJuly 21, 2026
Laboratory DirectorRichard K. Noble
Laboratory Phone(217) 222-6550
Laboratory LocationQuincy Medical Group - Family Practice1025 Maine St - Third Floor, Quincy, IL 62301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2009869

Quincy Medical Group - Pediatrics · Quincy, IL
Expired · Jul 14, 2026
CLIA Number14D2009869
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 15, 2024
Certificate Expiration DateJuly 14, 2026
Laboratory DirectorRichard K. Noble
Laboratory Phone(217) 222-6550
Laboratory LocationQuincy Medical Group - Pediatrics1025 Maine St - First Floor, Quincy, IL 62301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KORHAN B RAIF MD
Internal Medicine
868 MORTIMER ST
BARRY, IL 62312
Pike County (217) 335-2343
LISA K SPRAGUE CNP
Nurse Practitioner (Family)
868 MORTIMER ST
BARRY, IL 62312
Pike County (217) 335-2343
RUTH A HOLMAN NP
Nurse Practitioner (Family)
868 MORTIMER ST
BARRY, IL 62312
Pike County (217) 335-2343
CORINNA JO SHEPPARD MSN, FNP-C
Nurse Practitioner (Family)
868 MORTIMER ST
BARRY, IL 62312
Pike County (217) 335-2343
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Durable Medical Equipment & Medical Supplies
868 MORTIMER ST
BARRY, IL 62312
Pike County (217) 335-2343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quincy Physicians & Surgeons Clinic, PLLC's NPI number?

The NPI number for Quincy Physicians & Surgeons Clinic, PLLC is 1013981547. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is doing business as Quincy Medical Group Barry Affiliate.

Where is Quincy Physicians & Surgeons Clinic, PLLC located?

Quincy Physicians & Surgeons Clinic, PLLC is located at 868 Mortimer St, Barry, IL 62312. The listed phone number is (217) 335-2343.

What is Quincy Physicians & Surgeons Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Quincy Physicians & Surgeons Clinic, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Quincy Physicians & Surgeons Clinic, PLLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.