Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Renee Priddy

Individual provider Pediatrics Physician · NPI 1881274785

Alexis Renee Priddy is an Internal Medicine in Peoria, Illinois. Qualified in 2021, 5 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
5
Licensed in
GA, IL
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

5114 N Glen Park Place Rd Ste 110
Peoria, IL 61614-4686
Phone: (309) 683-5600
Fax: (309) 683-5607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 777 Hemlock St, Macon, GA 31201-2102 — (478) 633-1000
  • 744 First Street, Macon, GA 31201 — (478) 633-1851

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036172706 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036172706 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 13452 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881274785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria