Pediatric Group LLC
Pediatric Group LLC is a healthcare organization registered as Rural Health Clinic/Center in Marion, IL, holding Type 2 (organization) NPI 1114129970 since 2007. The authorized official on file is Rhonda Fisher, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114129970 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Group LLC |
| Practice address | 3412 OFFICE PARK DRIVE, Marion, IL, 62959 |
| Phone | 6189930404 |
| Fax | 6189931717 |
| Enumeration date | 2007-06-04 |
| Last updated in NPPES | 2026-04-29 |
Authorized official
| Name | Rhonda Fisher |
|---|---|
| Title | Ceo |
| Phone | 6189930404 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pediatric Group LLC NPI: 1114129970 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 3412 OFFICE PARK DRIVE, Marion, IL, 62959
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649384892 | Pradeep Reddy | Individual | Pediatrics Physician | Marion, IL |
| 1740337237 | Kathy Herren | Individual | Physician Assistant | Marion, IL |
| 1376683003 | Jeremy Gerwe | Individual | Pediatrics Physician | Marion, IL |
| 1104268168 | Carline Mbeumo | Individual | Pediatrics Physician | Marion, IL |
Verify this record
Cross-check NPI 1114129970 against the authoritative CMS record: view Pediatric Group LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Pediatric Group LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-29.