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

Mr. Elias Anderson, PA-C

Individual provider Physician Assistant · NPI 1336346360

Mr. Elias Anderson, PA-C is a Physician Assistant in Carbondale, Illinois. Qualified in 2006, 20 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2007
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

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (618) 457-3006
Fax: (618) 457-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 409 W Oak St Ste 202, Carbondale, IL 62901-1464 — (618) 295-0555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002820 (IL)

Record details

NPI number1336346360
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carbondale