SOUTH TEXAS PHYSICIAN GROUP, PLLC
NPI 1952016685
Internal Medicine in Fredericksburg, TX

Active since January 17, 2023CLIA Certified · 3 labs
205 W WINDCREST ST STE 130, FREDERICKSBURG, TX 78624(615) 373-7600 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2025, Jan 20, 2023 (2 updates tracked since 2023).

About South Texas Physician Group, Pllc NPPES

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

SOUTH TEXAS PHYSICIAN GROUP, PLLC (NPI 1952016685) is a healthcare organization registered as an internal medicine in Fredericksburg, Texas and active in the NPI registry since January 2023. The organization holds 3 active CLIA laboratory certificates and lists Nicholas Wadlington, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1952016685
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH TEXAS PHYSICIAN GROUP, PLLC
Location Address205 W WINDCREST ST STE 130Fredericksburg, TX 78624-4478
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Organization SubpartNo
Authorized OfficialNicholas WadlingtonGroup Vice President · (615) 372-7332
Enumeration DateJanuary 17, 2023
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1952016685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
205 W WINDCREST ST STE 130, Fredericksburg, TX 78624

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)

South Texas Physician Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to South Texas Physician Group, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 9

Nurse Practitioner4
Family Practice3
General Surgery3
Gastroenterology1
Interventional Pain Management1
Obstetrics/Gynecology1
Orthopedic Surgery1
Rheumatology1
1 other specialty1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1063855757
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053859819
205 W WINDCREST DR
Fredericksburg, TX 78624
(830) 388-7785
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1013950567
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 997-7138
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1982022802
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1164492443
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1578684544
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS0.1 mi
Interventional Pain Management
NPI 1407876014
205 W WINDCREST ST STE 350
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1639596760
205 W WINDCREST ST STE 130
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.1 mi
Rheumatology
NPI 1841270204
506 W WINDCREST ST
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1902860703
820 REUBEN STREET SUITE A
Fredericksburg, TX 78624
(830) 997-6000
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1306402979
820 REUBEN ST STE A
Fredericksburg, TX 78624
(830) 990-1404
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1033366109
1308 SOUTH HIGHWAY 16
Fredericksburg, TX 78624
(830) 997-2181
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1700207560
1031 S STATE HIGHWAY 16
Fredericksburg, TX 78624
(830) 992-2820
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1659340982
1331 BANDERA HWY
Kerrville, TX 78028
(830) 258-7762
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1912162033
1580 S MAIN ST STE 101
Boerne, TX 78006
(830) 428-2345
✔ PECOS✔ Accepts Medicare35 mi
Obstetrics/Gynecology
NPI 1225032279
551 HOSPITAL ROAD NEW RICHMOND CLINIC
New Richmond, WI 54017
(715) 243-3400
✔ PECOS✔ Accepts Medicare1,081 mi

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 3

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 45D0874501

South Texas Physician Group - Perry Feller Bldg (suite 310) · Fredericksburg, TX
Active · expires May 26, 2028
CLIA Number45D0874501
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorRebecca Turbeville
Laboratory Phone(830) 990-1404
Laboratory LocationSouth Texas Physician Group - Perry Feller Bldg (suite 310)205 W Windcrest Suite 310, Fredericksburg, TX 78624
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2102533

South Texas Physician Group - Immediate Care Clinic · Fredericksburg, TX
Active · expires Sep 23, 2027
CLIA Number45D2102533
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorRodrigo D. Cantu
Laboratory Phone(830) 992-2820
Laboratory LocationSouth Texas Physician Group - Immediate Care Clinic205 W Windcrest Ste 310, Fredericksburg, TX 78624
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2281500

South Texas Physician Group - Windcrest Multi-Specialty · Fredericksburg, TX
Active · expires May 7, 2027
CLIA Number45D2281500
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorHershel Zis Weisberg
Laboratory Phone(830) 990-1404
Laboratory LocationSouth Texas Physician Group - Windcrest Multi-Specialty506 W Windcrest, Fredericksburg, TX 78624
CLIA data matches this NPI record on: Name
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 South Texas Physician Group, PLLC's NPI number?

The NPI number for South Texas Physician Group, PLLC is 1952016685. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is South Texas Physician Group, PLLC located?

South Texas Physician Group, PLLC is located at 205 W Windcrest St Ste 130, Fredericksburg, TX 78624. The listed phone number is (615) 373-7600.

What is South Texas Physician Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is South Texas Physician Group, PLLC enrolled in Medicare?

Yes. South Texas Physician Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Texas Physician Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 9 Medicare specialties reassign their Medicare billing to South Texas Physician Group, PLLC. 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 Nurse Practitioner (4), Family Practice (3) and General Surgery (3). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Texas Physician Group, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does South Texas Physician Group, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list South Texas Physician Group, PLLC 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 South Texas Physician Group, PLLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.