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HIGHLAND PEDIATRICS & ADOLESCENT MEDICINE
NPI 1942321773
Pediatrics in Highland, IL

Active since April 02, 2007CLIA 14D0942976 · Waiver
1250 MERCANTILE DR, HIGHLAND, IL 62249(618) 654-4449(618) 654-3974 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Highland Pediatrics & Adolescent Medicine NPPES

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

HIGHLAND PEDIATRICS & ADOLESCENT MEDICINE (NPI 1942321773) is a healthcare organization registered as a pediatrics in Highland, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Debra Feldott-johnson, President, as its authorized official.

NPPES Registry Identity

NPI1942321773
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHIGHLAND PEDIATRICS & ADOLESCENT MEDICINE
Location Address1250 MERCANTILE DRHighland, IL 62249-1239
Mailing Address1250 Mercantile DrHighland, IL 62249-1239 · (618) 654-4449 · Fax (618) 654-3974
Phone(618) 654-4449
Fax(618) 654-3974
Organization SubpartNo
Authorized OfficialDebra Feldott-johnsonPresident · (618) 654-4449
Enumeration DateApril 2, 2007
Last NPPES UpdateOctober 13, 2011
✔ NPI 1942321773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1250 MERCANTILE DR, Highland, IL 62249
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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 from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 of Waiver 14D0942976

Highland Pediatric And Adolescent Medicine · Highland, IL
Active · expires Mar 18, 2028
CLIA Number14D0942976
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDebra Feldott-Johnson MD
Laboratory Phone(618) 654-4449
Laboratory LocationHighland Pediatric And Adolescent Medicine1250 Mercantile Dr, Highland, IL 62249
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DEBRA CHRISTINE FELDOTT-JOHNSON MD
Pediatrics
1250 MERCANTILE DR
HIGHLAND, IL 62249
Madison County (618) 654-4449
MS. LAUREN VIRGINIA SMITH PNP
Nurse Practitioner (Pediatrics)
1250 MERCANTILE DR
HIGHLAND, IL 62249
Madison County (618) 654-4449
ERICA SUE KNIEPKAMP
Nurse Practitioner (Pediatrics)
1250 MERCANTILE DR
HIGHLAND, IL 62249
Madison County (618) 654-4449

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 Highland Pediatrics & Adolescent Medicine's NPI number?

The NPI number for Highland Pediatrics & Adolescent Medicine is 1942321773. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Highland Pediatrics & Adolescent Medicine located?

Highland Pediatrics & Adolescent Medicine is located at 1250 Mercantile Dr, Highland, IL 62249. The listed phone number is (618) 654-4449.

What is Highland Pediatrics & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Highland Pediatrics & Adolescent Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0942976) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Highland Pediatrics & Adolescent Medicine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Highland Pediatrics & Adolescent Medicine 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 Highland Pediatrics & Adolescent Medicine was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.