Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Scott Alan Southerland, P.A.
Physician Assistant in Winfield, IL · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1639492804
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Registry record
Entity type Individual (Type 1)
Name Mr. Scott Alan Southerland
Credential P.A.
Sex Male
Practice address 25 N Winfield Rd, Winfield, IL, 60190
Phone (630) 232-0280
Enumeration date Mar 2, 2010
Last updated in NPPES Feb 15, 2022
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License TA1704 (AL) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 695 (AL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085006027 (IL) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Scott Southerland?
The National Provider Identifier (NPI) for Scott Southerland is 1639492804, a Type 1 (individual) record in the CMS NPPES registry.
Where does Scott Southerland practice?
The practice location on file with NPPES is in Winfield, IL. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Nicolai Hinds Obstetrics & Gynecology Physician · Winfield, IL NPI 1124024161 Teresa Smith Family Nurse Practitioner · Winfield, IL NPI 1861499899 Luis Torero Pediatric Pulmonology Physician · Winfield, IL NPI 1952399560 David Woodard Surgery Physician · Winfield, IL NPI 1447231782 James Carroll Cardiovascular Disease Physician · Winfield, IL NPI 1841272432 Michael Hussey Maternal & Fetal Medicine Physician · Winfield, IL NPI 1053395384 Neil Agruss Cardiovascular Disease Physician · Winfield, IL NPI 1780661736 Associated General Surgeons, S.C. Surgery Physician · Winfield, IL NPI 1174501266
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-15.