ST MARYS FAMILY PRACTICE CENTER
NPI 1487866687
Family Medicine in St Petersburg, FL

Q: What is St Marys Family Practice Center's NPI number?

The NPI number for St Marys Family Practice Center is 1487866687. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is St Marys Family Practice Center's specialty?

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

Active since May 03, 2007CLIA 10D0954106 · Waiver

1152 62ND AVE S, ST PETERSBURG, FL 33705(727) 866-6306(727) 864-9614 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About St Marys Family Practice Center NPPES

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

ST MARYS FAMILY PRACTICE CENTER (NPI 1487866687) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Sherif Mina Serag, Owner, as its authorized official.

NPPES Registry Identity

NPI1487866687

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST MARYS FAMILY PRACTICE CENTER

Location Address1152 62ND AVE SSt Petersburg, FL 33705-5620

Mailing Address1152 62nd Ave SSt Petersburg, FL 33705-5620 · (727) 866-6306 · Fax (727) 864-9614

Phone(727) 866-6306

Fax(727) 864-9614

Organization SubpartNo

Authorized OfficialSherif Mina SeragOwner · (727) 866-6306

Enumeration DateMay 3, 2007

Last NPPES UpdateOctober 1, 2019

✔ NPI 1487866687 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.

1152 62ND AVE S, St Petersburg, FL 33705

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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 Molina Healthcare.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)

St Marys Family Practice Center 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 St Marys Family Practice Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sherif Serag, M.D.

Family Practice

NPI 1881657658

1152 62ND AVE S
St Petersburg, FL 33705

(727) 866-6306

✔ PECOS✔ Accepts MedicareSame 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 10D0954106

St Marys Family Practice Center · Saint Petersburg, FL

Active · expires Nov 17, 2026

CLIA Number10D0954106

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2024

Certificate Expiration DateNovember 17, 2026

Laboratory DirectorSherif M. Serag

Laboratory Phone(727) 866-6306

Laboratory LocationSt Marys Family Practice Center1152 62nd Avenue South, Saint Petersburg, FL 33705

CLIA data matches this NPI record on: Name 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 St Marys Family Practice Center's NPI number?

The NPI number for St Marys Family Practice Center is 1487866687. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is St Marys Family Practice Center located?

St Marys Family Practice Center is located at 1152 62nd Ave S, St Petersburg, FL 33705. The listed phone number is (727) 866-6306.

What is St Marys Family Practice Center's specialty?

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

Is St Marys Family Practice Center enrolled in Medicare?

Yes. St Marys Family Practice Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Marys Family Practice Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St Marys Family Practice Center. 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 St Marys Family Practice Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0954106) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Marys Family Practice Center accept?

Health plans from Molina Healthcare list St Marys Family Practice Center 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 St Marys Family Practice Center was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.