Provider Demographics
NPI:1851365076
Name:STERGIS, GEORGE NICHOLAS (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:NICHOLAS
Last Name:STERGIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CAMPUS BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:125A MEDICAL CIR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3322
Practice Address - Country:US
Practice Address - Phone:540-667-1828
Practice Address - Fax:540-722-6207
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010463342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA18581365076Medicaid
VAP02071991OtherRR MEDICARE
VAVVR453AOtherMEDICARE
VA5057069OtherAETNA
VA082790000-00OtherSOUTHERN HEALTH
VA14987OtherOPTIMAHEALTH
VA070704OtherANTHEM
VA4343479OtherCIGNA
VA006153241Medicaid
WA293304OtherMAMSI/UNITED HEALTHCARE
VA006153241Medicaid