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SOUTHERN OB/GYN-HIGHLAND
NPI 1962793687
Obstetrics & Gynecology in Highland, IL

Active since April 28, 2011
1328 MERCANTILE DR, HIGHLAND, IL 62249(618) 654-4836(618) 526-7372 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Ob/gyn-highland NPPES

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

SOUTHERN OB/GYN-HIGHLAND (NPI 1962793687) is a healthcare organization registered as an obstetrics & gynecology in Highland, Illinois and active in the NPI registry since April 2011. The organization lists Anne Doll-pollard, President, as its authorized official.

NPPES Registry Identity

NPI1962793687
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN OBSTETRIC & GYNECO ASSOCIATES
Location Address1328 MERCANTILE DRHighland, IL 62249-1257
Mailing Address9447 Holy Cross LnBreese, IL 62230-3510 · (618) 526-2209 · Fax (618) 526-7372
Phone(618) 654-4836
Fax(618) 526-7372
Organization SubpartNo
Authorized OfficialAnne Doll-pollardPresident · (618) 526-2209
Enumeration DateApril 28, 2011
✔ NPI 1962793687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 042005236
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.
1328 MERCANTILE DR, Highland, IL 62249
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Other Names 1

Doing Business AsSouthern Ob/gyn-highland

Other Identifiers 2

Other042005236IL · Corporate License
Medicare NSC0994340001IL

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-highland 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-Highland, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

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

Clinicians, nearest first (10)

Nancy Taylor, RNC, MSN, WHNP
Nurse Practitioner
NPI 1386602134
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS12 mi
Ann Doll-Pollard, M.D.
Obstetrics/Gynecology
NPI 1881652626
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare12 mi
Bonnie Gelly, M.D.
Obstetrics/Gynecology
NPI 1316148364
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare12 mi
Penny Gozia, M.D.
Obstetrics/Gynecology
NPI 1629035076
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS12 mi
Megan Koehler, CNM
Certified Nurse Midwife (CNM)
NPI 1669986121
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare12 mi
Breck Kramper, WHNP
Nurse Practitioner
NPI 1720417413
9447 HOLY CROSS LN
Breese, IL 62230
(618) 526-2209
✔ PECOS✔ Accepts Medicare12 mi
Sara Grotefendt, NP
Nurse Practitioner
NPI 1255805594
6810 STATE ROUTE 162 STE 105
Maryville, IL 62062
(618) 288-9320
✔ PECOS✔ Accepts Medicare15 mi
Tasha Meyer, CNM
Certified Nurse Midwife (CNM)
NPI 1851849673
732 WALNUT HILL RD
Centralia, IL 62801
(618) 322-4418
✔ PECOS✔ Accepts Medicare35 mi
Raina Armbruster, D.O.
Obstetrics/Gynecology
NPI 1447665161
6420 CLAYTON RD
Saint Louis, MO 63117
(314) 768-8000
✔ PECOS✔ Accepts Medicare35 mi
Deirdre Knobeloch, D.O.
Obstetrics/Gynecology
NPI 1982947149
1560 N 115TH ST STE 101
Seattle, WA 98133
(206) 668-6806
✔ PECOS✔ Accepts Medicare1,745 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 1962793687. It was assigned to this organization in the NPPES registry on April 28, 2011. The provider is doing business as Southern Ob/Gyn-Highland.

Where is Southern Obstetric & Gyneco Associates located?

Southern Obstetric & Gyneco Associates is located at 1328 Mercantile Dr, Highland, IL 62249. The listed phone number is (618) 654-4836.

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). 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 April 28, 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.