Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Logan Michael Barkley, PA-C

Individual provider Physician Assistant · NPI 1003421603

Logan Michael Barkley, PA-C is a Physician Assistant in Rock Island, Illinois. Qualified in 2020, 6 years ago. Practices with Mcpc-10 LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2560 24th St Ste 201
Rock Island, IL 61201-5390
Phone: (309) 779-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 — (910) 672-0350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10650 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003421603
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address2650 Warrenville Rd Ste 280, Downers Grove, IL 60515-2075

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McPc-10 Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rock Island