Second Peak Recovery PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SECOND PEAK RECOVERY PC

Practice address

249 E Tabernacle St Ste 200
St George, UT 84770-2968

Phone

(435) 254-1088

Fax

(435) 254-1087

NPI assigned

Jul 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aj Yergensen

Title

Admin

Phone

(435) 986-9369

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1508783374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702968",
            "telephone_number": "435-254-1088",
            "fax_number": "435-254-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702968",
            "telephone_number": "435-254-1088",
            "fax_number": "435-254-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND PEAK RECOVERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "YERGENSEN",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "435-986-9369"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.