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DR. CHARLES EDWARD ST GEORGE III DC
NPI 1003090671
Chiropractor in Cottonwood, AZ

Active since December 19, 2007
4141 WESTERN DR, SUITE D, COTTONWOOD, AZ 86326(928) 646-9220(928) 646-7266 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Edward St George Iii Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES EDWARD ST GEORGE III DC (NPI 1003090671) is an individual chiropractor in Cottonwood, Arizona, licensed in Arizona (3762) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1003090671
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHARLES EDWARD ST GEORGE IIICredential: DC
Location Address4141 WESTERN DR, SUITE DCottonwood, AZ 86326
Mailing Address4141 Western Dr, Suite DCottonwood, AZ 86326 · (928) 646-9220 · Fax (928) 646-7266
Phone(928) 646-9220
Fax(928) 646-7266
Sole ProprietorNo
Enumeration DateDecember 19, 2007
Last NPPES UpdateAugust 29, 2012
✔ NPI 1003090671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 3762
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4141 WESTERN DR, Cottonwood, AZ 86326
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Edward St George Iii Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charles St George reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assurance Chiropractic Inc
Same address
Chiropractor
4141 WESTERN DR, SUITE D
Cottonwood, AZ 86326
  • Reassigned Medicare billing, Arizona enrollment
NPI 1811948425 (928) 646-9220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
912 services153 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
42 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSURANCE CHIROPRACTIC INC
Chiropractor
4141 WESTERN DR, SUITE D
COTTONWOOD, AZ 86326
Yavapai County (928) 646-9220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles St George's NPI number?

The NPI number for Charles St George is 1003090671. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Charles St George located?

Charles St George practices at 4141 Western Dr Suite D, Cottonwood, AZ 86326. The listed phone number is (928) 646-9220.

What is Charles St George's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charles St George enrolled in Medicare?

Yes. Charles St George is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles St George's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles St George reassigns Medicare benefits to Assurance Chiropractic Inc (Cottonwood, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles St George's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles St George was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.