SOUTH MEDICAL CENTER GROUP CORP
NPI 1740814458
Clinic/Center in Miami, FL
About South Medical Center Group Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH MEDICAL CENTER GROUP CORP (NPI 1740814458) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through August 26, 2028 and lists Josue Acosta, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Medical Center Group Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Medical Center Group Corp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2349821
South Medical Center Group Corp · Miami, FLFrequently 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 South Medical Center Group Corp's NPI number?
The NPI number for South Medical Center Group Corp is 1740814458. It was assigned to this organization in the NPPES registry on March 3, 2020.
Where is South Medical Center Group Corp located?
South Medical Center Group Corp is located at 12485 SW 137th Ave Ste 204, Miami, FL 33186. The listed phone number is (305) 614-1266.
What is South Medical Center Group Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is South Medical Center Group Corp enrolled in Medicare?
Yes. South Medical Center Group Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Medical Center Group Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to South Medical Center Group Corp, in General Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Medical Center Group Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2349821) is associated with this NPI, valid through August 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Medical Center Group Corp was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# South Medical Center Group Corp · NPI 1740814458
Clinic/Center organization in Miami, Florida. Organization record, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1740814458 (Entity type: Organization)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Josue Acosta, PRESIDENT
## Practice location
- **Address:** 12485 SW 137TH AVE STE 204, Miami, FL 33186-4217
- **Phone:** (305) 614-1266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740814458) · Data from the CMS NPPES public registry.