What is Granite City Clinic Corp's NPI number?

Granite City Clinic Corp's National Provider Identifier (NPI) is 1003892464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Granite City Clinic Corp?

Granite City Clinic Corp is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).

Where is Granite City Clinic Corp located?

Granite City Clinic Corp's practice location on file with NPPES is 2100 Madison Ave, Granite City, IL 62040-4701.

What is Granite City Clinic Corp's phone number?

The practice phone number listed in the NPPES registry for Granite City Clinic Corp is (618) 798-3000.

Who is the authorized official for Granite City Clinic Corp?

The authorized official listed on Granite City Clinic Corp's NPPES record is Gary Newsome, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Granite City Clinic Corp's NPI active?

Yes — Granite City Clinic Corp's NPI (1003892464) is active in the NPPES registry as of the last update on 2007-07-30.

OrganizationActive

Granite City Clinic Corp

NPI 1003892464 · Certified Registered Nurse Anesthetist · Granite City, IL

Granite City Clinic Corp is a Certified Registered Nurse Anesthetist organization in Granite City, IL (NPI 1003892464).

Provider details

NPI number: 1003892464
Entity type: Organization
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Gary Newsome, Vp(615) 465-7000

Practice location

2100 Madison Ave

Granite City, IL 62040-4701

Phone: (618) 798-3000

Street-level locationGet directions

More IL providers

Mailing address

P O Box 503734

Saint Louis, MO 63150-0001

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000X
Physician Assistants & Advanced Practice Nursing Providers
Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Granite City Anesthesia

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2005-12-19
Last updated: 2007-07-30

Frequently asked questions

What is Granite City Clinic Corp's NPI number?: Granite City Clinic Corp's National Provider Identifier (NPI) is 1003892464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Granite City Clinic Corp?: Granite City Clinic Corp is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
Where is Granite City Clinic Corp located?: Granite City Clinic Corp's practice location on file with NPPES is 2100 Madison Ave, Granite City, IL 62040-4701.
What is Granite City Clinic Corp's phone number?: The practice phone number listed in the NPPES registry for Granite City Clinic Corp is (618) 798-3000.
Who is the authorized official for Granite City Clinic Corp?: The authorized official listed on Granite City Clinic Corp's NPPES record is Gary Newsome, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Granite City Clinic Corp's NPI active?: Yes — Granite City Clinic Corp's NPI (1003892464) is active in the NPPES registry as of the last update on 2007-07-30.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions