SOUTHERN INDIANA FAMILY PRACTICE CENTER
NPI 1770626152
Preferred Provider Organization in Bloomington, IN

Q: What is Southern Indiana Family Practice Center PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since February 15, 2007CLIA 15D0998905 · Waiver

3209 W FULLERTON PIKE, STE A, BLOOMINGTON, IN 47403(812) 339-6744(812) 671-9113 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Indiana Family Practice Center NPPES

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

SOUTHERN INDIANA FAMILY PRACTICE CENTER (NPI 1770626152) is a healthcare organization registered as a preferred provider organization in Bloomington, Indiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Karen L. Reid-renner, Owner, as its authorized official.

NPPES Registry Identity

NPI1770626152

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameSOUTHERN INDIANA FAMILY PRACTICE CENTER PC

Location Address3209 W FULLERTON PIKE, STE ABloomington, IN 47403-4060

Mailing Address3209 W Fullerton Pike, Ste ABloomington, IN 47403-4060 · (812) 339-6744 · Fax (812) 671-9113

Phone(812) 339-6744

Fax(812) 671-9113

Organization SubpartNo

Authorized OfficialKaren L. Reid-rennerOwner · (812) 339-6744

Enumeration DateFebruary 15, 2007

Last NPPES UpdateNovember 20, 2015

✔ NPI 1770626152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in IN · 01055670A

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71002130A (IN)

3209 W FULLERTON PIKE, Bloomington, IN 47403

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Other Names 1

Doing Business AsSouthern Indiana Family Practice Center

Other Identifiers 3

Medicare UPING99934IN

Medicare ID-Type Unspecified188690IN

Medicaid200367600AIN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 15D0998905

Southern Indiana Family Practice · Bloomington, IN

Active · expires Feb 9, 2028

CLIA Number15D0998905

Laboratory TypePhysician Office

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorKaren L. Reid-Renner

Laboratory Phone(812) 339-6744

Laboratory LocationSouthern Indiana Family Practice1403 E Atwater Avenue, Bloomington, IN 47401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VARICOSE VEIN TREATMENT CENTER

Phlebology

3209 W FULLERTON PIKE, SUITE C
BLOOMINGTON, IN 47403

Monroe County (812) 325-2341

VEIN CLINIC LLC

Phlebology

3209 W FULLERTON PIKE, SUITE G
BLOOMINGTON, IN 47403

Monroe County (812) 325-3275

DR. WILLIAM J SCHMALZ MD

Internal Medicine

3209 W FULLERTON PIKE, SUITE E
BLOOMINGTON, IN 47403

Monroe County (812) 825-6102

MONROE FAMILY PRACTICE, LLC

Family Medicine

3209 W FULLERTON PIKE, SUITE B
BLOOMINGTON, IN 47403

Monroe County (812) 825-5191

ADAMSON MEDICAL LLC

Family Medicine

3209 W FULLERTON PIKE
BLOOMINGTON, IN 47403

Monroe County (812) 825-5191

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 Indiana Family Practice Center PC's NPI number?

The NPI number for Southern Indiana Family Practice Center PC is 1770626152. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Southern Indiana Family Practice Center.

Where is Southern Indiana Family Practice Center PC located?

Southern Indiana Family Practice Center PC is located at 3209 W Fullerton Pike Ste A, Bloomington, IN 47403. The listed phone number is (812) 339-6744.

What is Southern Indiana Family Practice Center PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Southern Indiana Family Practice Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0998905) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Indiana Family Practice Center PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Southern Indiana Family Practice Center PC 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 Indiana Family Practice Center PC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.