FAMILY MEDICINE - SLMG SOUTH, LLC
NPI 1164077822
Family Medicine in Imperial, MO
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Family Medicine - Slmg South, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Family Medicine - Slmg South, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 26Saint Louis, MO 63110
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 26D0437769
Family Medicine-Slmg South, LLC Dba Primary Care Of Eureka · Eureka, MOFrequently 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.
Is Family Medicine - Slmg South, LLC enrolled in Medicare?
Yes. Family Medicine - Slmg South, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine - Slmg South, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Family Medicine - Slmg South, LLC. 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. The largest specialties are Nurse Practitioner (18), Family Practice (6) and Emergency Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sunflower Health Plan and Ambetter of Oklahoma 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 7 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.
# Family Medicine - Slmg South, Llc · NPI 1164077822
Family Medicine organization in Imperial, Missouri. Organization record, active in the CMS NPPES registry since August 8, 2019.
## Identity
- **NPI:** 1164077822 (Entity type: Organization)
- **Enumerated:** August 8, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of St. Lukes Medical Group)
- **Authorized official:** Darren Haskell, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 1501 PROFESSIONAL DR, Imperial, MO 63052-3809
- **Phone:** (636) 464-4000 · **Fax:** (636) 529-0699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (6), Emergency Medicine (1); 1 practice at this address; [full list](https://npiprofile.com/npi/1164077822/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164077822) · Data from the CMS NPPES public registry.