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SOUTHTOWN CLINIC, PC
NPI 1124201652
Nurse Practitioner - Family in San Antonio, TX

Active since December 06, 2007CLIA 45D1041777 · Waiver
1025 S PRESA ST, SAN ANTONIO, TX 78210(210) 228-9340(210) 228-9342 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southtown Clinic, Pc NPPES

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

SOUTHTOWN CLINIC, PC (NPI 1124201652) is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Mary Gomez Curll, President, as its authorized official.

NPPES Registry Identity

NPI1124201652
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHTOWN CLINIC, PC
Location Address1025 S PRESA STSan Antonio, TX 78210-1359
Mailing Address1025 S Presa StSan Antonio, TX 78210-1359 · (210) 228-9340 · Fax (210) 228-9342
Phone(210) 228-9340
Fax(210) 228-9342
Organization SubpartNo
Authorized OfficialMary Gomez CurllPresident · (210) 228-9340
Enumeration DateDecember 6, 2007
✔ NPI 1124201652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1025 S PRESA ST, San Antonio, TX 78210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.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)

Southtown Clinic, 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 Southtown Clinic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Curll, RN, FNP
Nurse Practitioner
NPI 1174528319
1025 S PRESA ST
San Antonio, TX 78210
(210) 228-9340
✔ PECOSSame address

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 of Waiver 45D1041777

South Town Clinic PC · San Antonio, TX
Active · expires Jun 12, 2027
CLIA Number45D1041777
Laboratory TypePractitioner Other
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorMary G. Curll
Laboratory Phone(210) 228-9340
Laboratory LocationSouth Town Clinic PC1025 South Presa, San Antonio, TX 78210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southtown Clinic, PC's NPI number?

The NPI number for Southtown Clinic, PC is 1124201652. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Southtown Clinic, PC located?

Southtown Clinic, PC is located at 1025 S Presa St, San Antonio, TX 78210. The listed phone number is (210) 228-9340.

What is Southtown Clinic, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Southtown Clinic, PC enrolled in Medicare?

Yes. Southtown Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southtown Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southtown Clinic, 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.

Does Southtown Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1041777) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southtown Clinic, PC accept?

Health plans from WellPoint list Southtown Clinic, PC 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 Southtown Clinic, PC was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.