GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
NPI 1497685747
Nurse Practitioner - Family in Lawrenceville, IL
About Good Samaritan Hospital Physician Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC (NPI 1497685747), doing business as Tbil, is a healthcare organization registered as a family in Lawrenceville, Illinois and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Adam Thacker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 of Waiver 14D2168540
Good Samaritan Hospital - T B I L · Lawrenceville, ILFrequently 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 Good Samaritan Hospital Physician Services, Inc's NPI number?
The NPI number for Good Samaritan Hospital Physician Services, Inc is 1497685747. It was assigned to this organization in the NPPES registry on May 20, 2026. The provider is doing business as Tbil.
Where is Good Samaritan Hospital Physician Services, Inc located?
Good Samaritan Hospital Physician Services, Inc is located at 100 Trim Masters Dr, Lawrenceville, IL 62439. The listed phone number is (618) 943-7900.
What is Good Samaritan Hospital Physician Services, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Good Samaritan Hospital Physician Services, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2168540) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Good Samaritan Hospital Physician Services, Inc was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Good Samaritan Hospital Physician Services, Inc · NPI 1497685747
Family organization in Lawrenceville, Illinois. Organization record, active in the CMS NPPES registry since May 20, 2026.
## Identity
- **NPI:** 1497685747 (Entity type: Organization)
- **Enumerated:** May 20, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** TBIL (Doing Business As)
- **Organization subpart:** Yes (part of Good Samaritan Hospital Physician Services, Inc)
- **Authorized official:** Adam Thacker, CEO
## Practice location
- **Address:** 100 TRIM MASTERS DR, Lawrenceville, IL 62439-9501
- **Phone:** (618) 943-7900
## Record status
- **NPPES last updated:** May 20, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1497685747) · Data from the CMS NPPES public registry.