ST .CLAIR PEDAITRICS, LLC
NPI 1073705737
Pediatrics in Swansea, IL

Active since August 15, 2007CLIA Certified · 2 labs
4941 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 62226(618) 624-9970(618) 624-9973 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St .clair Pedaitrics, Llc NPPES

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

ST .CLAIR PEDAITRICS, LLC (NPI 1073705737) is a healthcare organization registered as a pediatrics in Swansea, Illinois and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates and lists Gregory T Garrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1073705737
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST .CLAIR PEDAITRICS, LLC
Location Address4941 BENCHMARK CENTRE DR, SUITE 100Swansea, IL 62226-2038
Mailing Address4941 Benchmark Centre Dr, Suite 100Swansea, IL 62226-2038 · (618) 624-9970 · Fax (618) 624-9973
Fax(618) 624-9973
Organization SubpartNo
Authorized OfficialGregory T GarrisonOwner · (618) 624-9970
Enumeration DateAugust 15, 2007
NPI 1073705737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4941 BENCHMARK CENTRE DR, Swansea, IL 62226

Other Identifiers 1

Other08223014IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0955306

St Clair Pediatrics · Swansea, IL
Active · expires Dec 22, 2026
CLIA Number14D0955306
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorGregory T. Garrison M D
Laboratory Phone(618) 624-9970
Laboratory LocationSt Clair Pediatrics4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2125337

St Clair Pediatrics - Columbia · Columbia, IL
Active · expires Feb 5, 2027
CLIA Number14D2125337
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorGregory T. Garrison MD
Laboratory Phone(618) 624-9970
Laboratory LocationSt Clair Pediatrics - Columbia1000 Eleven South, Ste 4G, Columbia, IL 62236
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pediatrics
4941 BENCHMARK CENTRE DR, SUITE 100
SWANSEA, IL 62226
Nurse Practitioner (Pediatrics)
4941 BENCHMARK CENTRE DR, STE 100
SWANSEA, IL 62226
Speech-Language Pathologist
4941 BENCHMARK CENTRE DR
SWANSEA, IL 62226
Exclusive Provider Organization
4941 BENCHMARK CENTRE DR, SUITE 300
SWANSEA, IL 62226
Pediatrics
4941 BENCHMARK CENTRE DR, SUITE 100
SWANSEA, IL 62226

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 St .Clair Pedaitrics, LLC's NPI number?

The NPI number for St .Clair Pedaitrics, LLC is 1073705737. It was assigned to this organization in the NPPES registry on August 15, 2007.

Where is St .Clair Pedaitrics, LLC located?

St .Clair Pedaitrics, LLC is located at 4941 Benchmark Centre Dr Suite 100, Swansea, IL 62226. The listed phone number is (618) 624-9970.

What is St .Clair Pedaitrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does St .Clair Pedaitrics, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St .Clair Pedaitrics, LLC was last updated on August 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.