SECOND PEAK RECOVERY PC
NPI 1508783374
Family Medicine in St George, UT

Active since July 02, 2026
249 E TABERNACLE ST STE 200, ST GEORGE, UT 84770(435) 254-1088(435) 254-1087 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Second Peak Recovery Pc NPPES

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

SECOND PEAK RECOVERY PC (NPI 1508783374) is a healthcare organization registered as a family medicine in St George, Utah and active in the NPI registry since July 2026. The organization lists Aj Yergensen, Admin, as its authorized official.

NPPES Registry Identity

NPI1508783374
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSECOND PEAK RECOVERY PC
Location Address249 E TABERNACLE ST STE 200St George, UT 84770-2968
Mailing Address249 E Tabernacle St Ste 200St George, UT 84770-2968 · (435) 254-1088 · Fax (435) 254-1087
Fax(435) 254-1087
Organization SubpartNo
Authorized OfficialAj YergensenAdmin · (435) 986-9369
Enumeration DateJuly 2, 2026
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1508783374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
249 E TABERNACLE ST STE 200, St George, UT 84770

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Second Peak Recovery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Second Peak Recovery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1447935820
620 SHADOW LN
Las Vegas, NV 89106
(702) 388-8437
✔ PECOS110 mi

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

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 Second Peak Recovery PC's NPI number?

The NPI number for Second Peak Recovery PC is 1508783374. It was assigned to this organization in the NPPES registry on July 2, 2026.

Where is Second Peak Recovery PC located?

Second Peak Recovery PC is located at 249 E Tabernacle St Ste 200, St George, UT 84770. The listed phone number is (435) 254-1088.

What is Second Peak Recovery PC's specialty?

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

Is Second Peak Recovery PC enrolled in Medicare?

Yes. Second Peak Recovery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Second Peak Recovery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Second Peak Recovery PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Second Peak Recovery PC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.