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WILDWOOD FAMILY CLINIC, SC
NPI 1225115124
Family Medicine in Cottage Grove, WI

Active since November 01, 2006CLIA Certified · 2 labs
535 SOUTHING GRANGE, COTTAGE GROVE, WI 53527(608) 839-3515(608) 839-3541 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wildwood Family Clinic, Sc NPPES

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

WILDWOOD FAMILY CLINIC, SC (NPI 1225115124) is a healthcare organization registered as a family medicine in Cottage Grove, Wisconsin and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Sheryl Green, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225115124
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILDWOOD FAMILY CLINIC, SC
Location Address535 SOUTHING GRANGECottage Grove, WI 53527-9338
Mailing Address535 Southing GrangeCottage Grove, WI 53527-9338 · (608) 839-3515 · Fax (608) 839-3541
Phone(608) 839-3515
Fax(608) 839-3541
Organization SubpartNo
Authorized OfficialSheryl GreenAdministrator · (608) 221-1501
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225115124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
535 SOUTHING GRANGE, Cottage Grove, WI 53527
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Other Identifiers 1

Medicaid32721000WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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 Compliance 52D0393727

Wildwood Family Clinic · Madison, WI
Active · expires May 27, 2027
CLIA Number52D0393727
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorDr. Jason Hampton
Laboratory Phone(608) 221-1501
Laboratory LocationWildwood Family Clinic4901 Cottage Grove Rd, Madison, WI 53716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 52D0911694

Wildwood Family Clinic Sc · Cottage Grove, WI
Active · expires Nov 4, 2026
CLIA Number52D0911694
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDr. Jason Hampton
Laboratory Phone(608) 839-3515
Laboratory LocationWildwood Family Clinic Sc251 East Cottage Grove Rd, Cottage Grove, WI 53527
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Wildwood Family Clinic, Sc's NPI number?

The NPI number for Wildwood Family Clinic, Sc is 1225115124. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Wildwood Family Clinic, Sc located?

Wildwood Family Clinic, Sc is located at 535 Southing Grange, Cottage Grove, WI 53527. The listed phone number is (608) 839-3515.

What is Wildwood Family Clinic, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wildwood Family Clinic, Sc 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.

What insurance does Wildwood Family Clinic, Sc accept?

Health plans from Quartz list Wildwood Family Clinic, Sc 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 Wildwood Family Clinic, Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.