Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin L Northcutt, PA-C

Individual provider Physician Assistant · NPI 1194351668

Mr. Justin L Northcutt, PA-C is a Physician Assistant in Mount Vernon, Illinois. Graduated from Saint Louis University School of Medicine in 2019, 7 years ago. Practices with Signature Medical Group Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2020
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

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone: (618) 244-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007547 (IL)

Record details

NPI number1194351668
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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