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ST GEORGE CLINICS, LLC
NPI 1194216416
Clinic/Center - Multi-Specialty in Waterford, WI

Active since May 22, 2018
308 E MAIN ST, WATERFORD, WI 53185(262) 923-3777 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, May 22, 2018 (2 updates tracked since 2018).

About St George Clinics, Llc NPPES

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

ST GEORGE CLINICS, LLC (NPI 1194216416) is a healthcare organization registered as a multi-specialty in Waterford, Wisconsin and active in the NPI registry since May 2018. The organization lists Tatjana Stevanovic, Adult Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1194216416
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameST GEORGE CLINICS, LLC
Location Address308 E MAIN STWaterford, WI 53185-4306
Mailing Address308 E Main StWaterford, WI 53185-4306 · (262) 923-3777
Phone(262) 923-3777
Organization SubpartNo
Authorized OfficialTatjana StevanovicAdult Nurse Practioner · (262) 923-3777
Enumeration DateMay 22, 2018
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1194216416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in WI · 52D1037628
308 E MAIN ST, Waterford, WI 53185
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 George Clinics, LLC's NPI number?

The NPI number for St George Clinics, LLC is 1194216416. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is St George Clinics, LLC located?

St George Clinics, LLC is located at 308 E Main St, Waterford, WI 53185. The listed phone number is (262) 923-3777.

What is St George Clinics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does St George Clinics, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list St George Clinics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St George Clinics, LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.