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DR. JOHN ANDREW PETERSON M.D.
NPI 1164495941
Family Medicine in Jacksonville, IL

Active since February 10, 2006
800 W STATE ST, JACKSONVILLE, IL 62650(217) 243-9471(217) 243-5359 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Andrew Peterson M.d. NPPES

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

DR. JOHN ANDREW PETERSON M.D. (NPI 1164495941) is an individual family medicine provider in Jacksonville, Illinois, licensed in Illinois (036055264) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1164495941
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN ANDREW PETERSONCredential: M.D.
Location Address800 W STATE STJacksonville, IL 62650-1910
Mailing Address15 Founders Ln, Ste 100Jacksonville, IL 62650-3924 · (217) 243-0300 · Fax (217) 245-6527
Phone(217) 243-9471
Fax(217) 243-5359
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 20, 2017
✔ NPI 1164495941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036055264
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 W STATE ST, Jacksonville, IL 62650
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Other Identifiers 3

Medicare ID-Type UnspecifiedL72271IL
Medicaid036055264IL
Medicare UPIND93384

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.

JACKSONVILLE, LLC
Clinic/Center (Rural Health)
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
MRS. DIANE M. LIETZ APRN FNP-C
Nurse Practitioner (Family)
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-2292
HEALTHCARE NETWORK ASSOCIATES
Clinic/Center (Multi-Specialty)
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Family Medicine
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471
SHANA L WHITEHEAD PA-C
Physician Assistant
800 W STATE ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-9471

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 John Peterson's NPI number?

The NPI number for John Peterson is 1164495941. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is John Peterson located?

John Peterson practices at 800 W State St, Jacksonville, IL 62650. The listed phone number is (217) 243-9471.

What is John Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Peterson was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.