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ATWOOD MEDICAL, LLC
NPI 1760688642
Family Medicine in Olney, IL

Active since June 26, 2007CLIA 14D1023464 · Microscopy
1400 N EAST ST, OLNEY, IL 62450(618) 395-1400(618) 395-1405 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atwood Medical, Llc NPPES

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

ATWOOD MEDICAL, LLC (NPI 1760688642) is a healthcare organization registered as a family medicine in Olney, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through March 16, 2028 and lists Brian L Atwood, President, as its authorized official.

NPPES Registry Identity

NPI1760688642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATWOOD MEDICAL, LLC
Location Address1400 N EAST STOlney, IL 62450-2426
Mailing Address1400 N East StOlney, IL 62450-2426 · (618) 395-1400 · Fax (618) 395-1405
Phone(618) 395-1400
Fax(618) 395-1405
Organization SubpartNo
Authorized OfficialBrian L AtwoodPresident · (618) 395-1400
Enumeration DateJune 26, 2007
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1760688642 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 · 036-110096
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.
1400 N EAST ST, Olney, IL 62450
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Other Identifiers 1

Medicaid332782580IL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atwood Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Atwood Medical, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brian Atwood, M.D.
Family Practice
NPI 1235182809
1400 N EAST ST
Olney, IL 62450
(618) 395-1400
✔ PECOS✔ Accepts MedicareSame address
Melissa Kuenstler, APN, WHNP
Nurse Practitioner
NPI 1134469364
500 S SCOTT AVE
Newton, IL 62448
(618) 783-2144
✔ PECOS19 mi

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

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) 14D1023464

Atwood Medical · Olney, IL
Active · expires Mar 16, 2028
CLIA Number14D1023464
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorBrian L. Atwood
Laboratory Phone(618) 395-1400
Laboratory LocationAtwood Medical1400 N East Street, Olney, IL 62450
CLIA data matches this NPI record on: Address 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.

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 Atwood Medical, LLC's NPI number?

The NPI number for Atwood Medical, LLC is 1760688642. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Atwood Medical, LLC located?

Atwood Medical, LLC is located at 1400 N East St, Olney, IL 62450. The listed phone number is (618) 395-1400.

What is Atwood Medical, LLC's specialty?

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

Is Atwood Medical, LLC enrolled in Medicare?

Yes. Atwood Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atwood Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atwood Medical, LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atwood Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1023464) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atwood Medical, LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.