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FAMILY MEDICINE - SLMG SOUTH, LLC
NPI 1164077822
Family Medicine in Imperial, MO

Active since August 08, 2019CLIA 26D0437769 · Waiver
1501 PROFESSIONAL DR, IMPERIAL, MO 63052(636) 464-4000(636) 529-0699 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Dec 12, 2025, Oct 21, 2020 and 1 more (4 updates tracked since 2019).

About Family Medicine - Slmg South, Llc NPPES

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

FAMILY MEDICINE - SLMG SOUTH, LLC (NPI 1164077822) is a healthcare organization registered as a family medicine in Imperial, Missouri and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 28, 2027, maintains a secondary practice location in Eureka, and lists Darren R. Haskell, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1164077822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE - SLMG SOUTH, LLC
Location Address1501 PROFESSIONAL DRImperial, MO 63052-3809
Mailing Address121 Saint Lukes Center DrChesterfield, MO 63017-3518 · (636) 685-7804
Phone(636) 464-4000
Fax(636) 529-0699
Organization SubpartYesParent: St. Lukes Medical Group
Authorized OfficialDarren R. HaskellChief Medical Officer · (314) 205-6444
Enumeration DateAugust 8, 2019
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1164077822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1501 PROFESSIONAL DR, Imperial, MO 63052
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Secondary Practice Location 1

Location 1103 Hilltop Village Shopping Center Dr.Eureka, MO 63025 · Phone (636) 587-6350 · Fax (636) 529-0699

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 26D0437769

Family Medicine-Slmg South, LLC Dba Primary Care Of Eureka · Eureka, MO
Active · expires Sep 28, 2027
CLIA Number26D0437769
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorRebecca Michels
Laboratory Phone(636) 587-6350
Laboratory LocationFamily Medicine-Slmg South, LLC Dba Primary Care Of Eureka103 Hilltop Village Center Dr, Eureka, MO 63025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE E BAKER DO
Family Medicine
1501 PROFESSIONAL DR
IMPERIAL, MO 63052
Jefferson County (636) 547-7300
MICHAEL A PATTERSON D.O.
Family Medicine
1501 PROFESSIONAL DR
IMPERIAL, MO 63052
Jefferson County (636) 547-7300

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 Family Medicine - Slmg South, LLC's NPI number?

The NPI number for Family Medicine - Slmg South, LLC is 1164077822. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is Family Medicine - Slmg South, LLC located?

Family Medicine - Slmg South, LLC is located at 1501 Professional Dr, Imperial, MO 63052. The listed phone number is (636) 464-4000.

What is Family Medicine - Slmg South, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medicine - Slmg South, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0437769) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medicine - Slmg South, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Family Medicine - Slmg South, 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 Family Medicine - Slmg South, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.