GREENVILLE FAMILY MEDICINE, LLC
NPI 1245836782
Family Medicine in Greenville, IL

Active since December 09, 2020CLIA 14D2107700 · Microscopy
1000 RED BALL TRL, GREENVILLE, IL 62246(618) 664-1240(618) 690-2189 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenville Family Medicine, Llc NPPES

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

GREENVILLE FAMILY MEDICINE, LLC (NPI 1245836782) is a healthcare organization registered as a family medicine in Greenville, Illinois and active in the NPI registry since December 2020. The organization holds a CLIA Microscopy certificate valid through January 19, 2028 and lists Kelsey Hopkins, Md, as its authorized official.

NPPES Registry Identity

NPI1245836782
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREENVILLE FAMILY MEDICINE, LLC
Location Address1000 RED BALL TRLGreenville, IL 62246-2781
Mailing Address1000 Red Ball TrlGreenville, IL 62246-2781 · (618) 664-1240 · Fax (618) 690-2189
Fax(618) 690-2189
Organization SubpartNo
Authorized OfficialKelsey HopkinsMd · (618) 664-1240
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1245836782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

1000 RED BALL TRL, Greenville, IL 62246

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2107700

Greenville Family Medicine, LLC · Greenville, IL
Active · expires Jan 19, 2028
CLIA Number14D2107700
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorPhilip E. Siefken MD
Laboratory Phone(618) 664-1240
Laboratory LocationGreenville Family Medicine, LLC1000 Red Ball Trail, Greenville, IL 62246
CLIA data matches this NPI record on: Name 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.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Family Medicine
1000 RED BALL TRL
GREENVILLE, IL 62246
Physician Assistant
1000 RED BALL TRL
GREENVILLE, IL 62246
Pediatrics
1000 RED BALL TRL
GREENVILLE, IL 62246
Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Nurse Practitioner
1000 RED BALL TRL
GREENVILLE, IL 62246

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 Greenville Family Medicine, LLC's NPI number?

The NPI number for Greenville Family Medicine, LLC is 1245836782. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Greenville Family Medicine, LLC located?

Greenville Family Medicine, LLC is located at 1000 Red Ball Trl, Greenville, IL 62246. The listed phone number is (618) 664-1240.

What is Greenville Family Medicine, LLC's specialty?

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

Does Greenville Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2107700) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greenville Family Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Greenville Family Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenville Family Medicine, LLC was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.