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SOUTHERN OB/GYN
NPI 1467419804
Obstetrics & Gynecology in Breese, IL

Active since April 28, 2006
9447 HOLY CROSS LN, BREESE, IL 62230(618) 526-2209(618) 526-7372 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Ob/gyn NPPES

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

SOUTHERN OB/GYN (NPI 1467419804) is a healthcare organization registered as an obstetrics & gynecology in Breese, Illinois and active in the NPI registry since April 2006. The organization lists Anne Elizabeth Doll-pollard, President, as its authorized official.

NPPES Registry Identity

NPI1467419804
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN OBSTETRIC & GYNECO ASSOCIATES
Location Address9447 HOLY CROSS LNBreese, IL 62230-3510
Mailing Address9447 Holy Cross LnBreese, IL 62230-3510 · (618) 526-2209 · Fax (618) 526-7372
Phone(618) 526-2209
Fax(618) 526-7372
Organization SubpartNo
Authorized OfficialAnne Elizabeth Doll-pollardPresident · (618) 526-2209
Enumeration DateApril 28, 2006
Last NPPES UpdateMarch 11, 2011
✔ NPI 1467419804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9447 HOLY CROSS LN, Breese, IL 62230
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Other Names 1

Doing Business AsSouthern Ob/gyn

Other Identifiers 3

Medicare ID-Type Unspecified210436
Medicare NSC0994340001
Other042005236IL · Corporation License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Southern Ob/Gyn, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Obstetrics/Gynecology5
Nurse Practitioner3
Certified Nurse Midwife (CNM)2

Clinicians, nearest first (10)

Ann Doll-Pollard, M.D.
Obstetrics/Gynecology
NPI 1881652626
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare0.1 mi
Bonnie Gelly, M.D.
Obstetrics/Gynecology
NPI 1316148364
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare0.1 mi
Penny Gozia, M.D.
Obstetrics/Gynecology
NPI 1629035076
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS0.1 mi
Megan Koehler, CNM
Certified Nurse Midwife (CNM)
NPI 1669986121
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare0.1 mi
Breck Kramper, WHNP
Nurse Practitioner
NPI 1720417413
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare0.1 mi
Nancy Taylor, RNC, MSN, WHNP
Nurse Practitioner
NPI 1386602134
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS0.2 mi
Sara Grotefendt, NP
Nurse Practitioner
NPI 1255805594
6810 STATE ROUTE 162 STE 105
Maryville, IL 62062
(618) 288-9320
✔ PECOS✔ Accepts Medicare24 mi
Tasha Meyer, CNM
Certified Nurse Midwife (CNM)
NPI 1851849673
732 WALNUT HILL RD
Centralia, IL 62801
(618) 322-4418
✔ PECOS✔ Accepts Medicare24 mi
Raina Armbruster, D.O.
Obstetrics/Gynecology
NPI 1447665161
6420 CLAYTON RD
Saint Louis, MO 63117
(314) 768-8000
✔ PECOS✔ Accepts Medicare43 mi
Deirdre Knobeloch, D.O.
Obstetrics/Gynecology
NPI 1982947149
1560 N 115TH ST STE 101
Seattle, WA 98133
(206) 668-6806
✔ PECOS✔ Accepts Medicare1,757 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Obstetric & Gyneco Associates's NPI number?

The NPI number for Southern Obstetric & Gyneco Associates is 1467419804. It was assigned to this organization in the NPPES registry on April 28, 2006. The provider is doing business as Southern Ob/Gyn.

Where is Southern Obstetric & Gyneco Associates located?

Southern Obstetric & Gyneco Associates is located at 9447 Holy Cross Ln, Breese, IL 62230. The listed phone number is (618) 526-2209.

What is Southern Obstetric & Gyneco Associates's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Southern Obstetric & Gyneco Associates enrolled in Medicare?

Yes. Southern Obstetric & Gyneco Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Obstetric & Gyneco Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Obstetric & Gyneco Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (5), Nurse Practitioner (3) and Certified Nurse Midwife (CNM) (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Obstetric & Gyneco Associates accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Southern Obstetric & Gyneco Associates 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 Southern Obstetric & Gyneco Associates was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.