FAMILY MEDICINE - SLMG SOUTH, LLC
Medicare Clinicians for 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

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Family Medicine - Slmg South, LLC in Imperial, MO bills Medicare for 26 clinicians across 4 Medicare specialties. The largest specialties are Nurse Practitioner with 18, Family Practice with 6 and Emergency Medicine with 1. Of these, 1 practice at this address. Search by name or filter by specialty; each name links to that clinician's NPI profile.

26Clinicians
4Medicare specialties
26PECOS enrolled
26Accept Medicare
26 clinicians in 4 specialties

Nurse Practitioner (18)

Nurse Practitioner
NPI 1922735554
774 GRAVOIS BLUFFS BLVD
Fenton, MO 63026
(636) 343-5223
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1790528289
774 GRAVOIS BLUFFS BLVD STE A
Fenton, MO 63026
(636) 343-5223
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1679730576
1000 CROSSROADS PL
High Ridge, MO 63049
(866) 825-3227
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1366850554
1000 DES PERES RD STE 310
Saint Louis, MO 63131
(314) 821-1313
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1437524360
1010 OLD DES PERES ROAD
St. Louis, MO 63131
(314) 729-0077
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1144032285
103 HILLTOP VILLAGE CENTER DR
Eureka, MO 63025
(636) 587-6478
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1871064972
3009 N BALLAS RD STE 100B
Saint Louis, MO 63131
(314) 432-1111
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1952084873
233 CLARKSON RD
Ellisville, MO 63011
(636) 256-8644
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1457637811
233 CLARKSON RD
Ellisville, MO 63011
(636) 256-8644
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1740997527
4921 PARKVIEW PL DIV NEURO SURG, STE 6B/6C
Saint Louis, MO 63110
(314) 362-3577
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1083915771
111 SAINT LUKES CENTER DR STE 40B
Chesterfield, MO 63017
(314) 864-6266
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1508384942
232 S WOODS MILL RD
Chesterfield, MO 63017
(314) 205-6990
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1861991994
232 S WOODS MILL RD
Chesterfield, MO 63017
(314) 205-6736
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1356731004
4000 JENNINGS STATION RD
Saint Louis, MO 63121
(314) 679-7800
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1174381701
154 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 552-9647
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1568724284
2630 HIGHWAY K
O Fallon, MO 63368
(636) 980-5300
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1013568013
1 HOSPITAL DR
Columbia, MO 65212
(573) 882-8091
✔ PECOS✔ Accepts Medicare112 mi
Nurse Practitioner
NPI 1487078879
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
(800) 997-6196
✔ PECOS✔ Accepts Medicare1,739 mi

Family Practice (6)

Family Practice
NPI 1235340332
1501 PROFESSIONAL DR
Imperial, MO 63052
(636) 547-7300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104266733
714 GRAVOIS RD STE 210
Fenton, MO 63026
(636) 660-9850
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1184144065
103 HILLTOP VILLAGE SHOPPING CENTER DR
Eureka, MO 63025
(636) 587-6350
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1679142772
2345 DOUGHERTY FERRY RD
Saint Louis, MO 63122
(316) 617-8254
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1093715096
1001 CARDWELL ST
Saint Clair, MO 63077
(636) 629-3300
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1316631609
1102 W 32ND ST
Joplin, MO 64804
(417) 347-1111
✔ PECOS✔ Accepts Medicare243 mi

Emergency Medicine (1)

Emergency Medicine
NPI 1710042726
241 CLARKSON RD SUITE 103
Ellisville, MO 63011
(636) 256-4941
✔ PECOS✔ Accepts Medicare19 mi

Internal Medicine (1)

Internal Medicine
NPI 1659398279
11133 DUNN RD DEPT EMERGENCY MED
Saint Louis, MO 63136
(314) 362-9123
✔ PECOS✔ Accepts Medicare30 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Family Medicine - Slmg South, LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.