Provider Profile

Scott A. Southerland, P.A.

Unclaimed Profile

About Scott Southerland

Listed in the NPI registry as a physician assistant, Scott A. Southerland, P.A. practices in Winfield, IL. Scott is also listed as specializing in physician assistant — surgical.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2009

Specialty

Physician Assistant (Primary)
Physician Assistant — Surgical (Additional)
Physician Assistant (Additional)

Credentials & Licensing

IL license085006027
AL licenseTA1704
AL license695
NPI1639492804
NPI issued03/02/2010

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Scott A. Southerland specialize in?

Scott A. Southerland is a physician assistant in Winfield, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Scott A. Southerland located?

Scott A. Southerland is listed at 25 N Winfield Rd, Winfield, IL 60190. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Scott A. Southerland's phone number?

The number on file is (630) 232-0280. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Scott A. Southerland's NPI number?

Scott A. Southerland's National Provider Identifier is 1639492804. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Scott A. Southerland train?

Scott A. Southerland attended Other, graduating in 2009. This comes from the CMS National Downloadable File.

CMS public data

How long has Scott A. Southerland been practicing?

Scott A. Southerland has 17 years experience. Calculated from a graduation year of 2009, reported in the CMS National Downloadable File.

CMS public data

Has Scott A. Southerland confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Scott A. Southerland. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.