SOUTHERN CITIES CLINIC
NPI 1437218740
General Practice in Faribault, MN

Active since December 06, 2006
400 4TH ST NW, FARIBAULT, MN 55021(507) 384-6830 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2026, Jan 2, 2026, Sep 4, 2025 and 4 more (7 updates tracked since 2019).

About Southern Cities Clinic NPPES

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

SOUTHERN CITIES CLINIC (NPI 1437218740) is a healthcare organization registered as a general practice in Faribault, Minnesota and active in the NPI registry since December 2006. The organization lists Melissa Ells, Ambulatory Care Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437218740
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTHERN CITIES CLINIC
Location Address400 4TH ST NWFaribault, MN 55021-5031
Mailing Address3200 Labore Rd Ste 104Vadnais Heights, MN 55110-5186
Organization SubpartNo
Authorized OfficialMelissa EllsAmbulatory Care Executive Director · (651) 539-7200
Enumeration DateDecember 6, 2006
Last NPPES UpdateJanuary 28, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1437218740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
400 4TH ST NW, Faribault, MN 55021

Other Identifiers 1

Medicaid496053000MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Southern Cities Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southern Cities Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Psychiatry5
Dentist3
Nurse Practitioner2
Certified Clinical Nurse Specialist (CNS)1
Geriatric Medicine1

Clinicians, nearest first (12)

Geriatric Medicine
NPI 1700947173
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1740694520
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOSSame address
Psychiatry
NPI 1427234475
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1619350006
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOSSame address
Nurse Practitioner
NPI 1902201700
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1518152172
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508534751
400 4TH ST NW STE A
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1225120991
400 4TH ST NW
Faribault, MN 55021
(507) 384-6830
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1548601560
100 FREEMAN DR
Saint Peter, MN 56082
(507) 985-2009
✔ PECOS35 mi
Psychiatry
NPI 1669664918
3200 LABORE RD STE 104
Vadnais Heights, MN 55110
(507) 284-2511
✔ PECOS52 mi
Psychiatry
NPI 1942273461
1701 TECHNOLOGY DR NE
Willmar, MN 56201
(320) 231-5421
✔ PECOS104 mi
Dentist
NPI 1588319354
327 WESTERN AVE STE A
Fergus Falls, MN 56537
(218) 998-2218
✔ PECOS195 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Cities Clinic's NPI number?

The NPI number for Southern Cities Clinic is 1437218740. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Southern Cities Clinic located?

Southern Cities Clinic is located at 400 4th St NW, Faribault, MN 55021. The listed phone number is (507) 384-6830.

What is Southern Cities Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Southern Cities Clinic enrolled in Medicare?

Yes. Southern Cities Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Cities Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Southern Cities Clinic. 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 Psychiatry (5), Dentist (3) and Nurse Practitioner (2). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Cities Clinic accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HealthPartners and UnitedHealthcare list Southern Cities Clinic 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 Southern Cities Clinic was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.