CORNER CLINIC ST GEORGE LLC
NPI 1629568209
Family Medicine in St George, UT
About Corner Clinic St George Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNER CLINIC ST GEORGE LLC (NPI 1629568209) is a healthcare organization registered as a family medicine in St George, Utah and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through March 28, 2028, maintains a secondary practice location in St George, and lists Shane Whittier, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corner Clinic St George Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Corner Clinic St George LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 for Provider-Performed Microscopy Procedures (PPMP) 46D2146494
Corner Clinic St George, LLC · St George, UTFrequently 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 Corner Clinic St George LLC's NPI number?
The NPI number for Corner Clinic St George LLC is 1629568209. It was assigned to this organization in the NPPES registry on May 18, 2018.
Where is Corner Clinic St George LLC located?
Corner Clinic St George LLC is located at 2351 S River Rd Unit 5, St George, UT 84790. The listed phone number is (435) 659-7352.
What is Corner Clinic St George LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Corner Clinic St George LLC enrolled in Medicare?
Yes. Corner Clinic St George LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corner Clinic St George LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Corner Clinic St George LLC. 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. The largest specialties are Nurse Practitioner (9) and Family Practice (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Corner Clinic St George LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D2146494) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Corner Clinic St George LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Corner Clinic St George 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 Corner Clinic St George LLC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Corner Clinic St George Llc · NPI 1629568209
Family Medicine organization in St George, Utah. Organization record, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1629568209 (Entity type: Organization)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shane Whittier, COO
## Practice location
- **Address:** 2351 S RIVER RD UNIT 5, St George, UT 84790-8280
- **Phone:** (435) 659-7352
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629568209) · Data from the CMS NPPES public registry.