Family Medicine of Southeast Missouri, LLC
NPI 1619145612 · Family Medicine Physician · Sikeston, MO
Family Medicine of Southeast Missouri, LLC is a Family Medicine Physician organization in Sikeston, MO (NPI 1619145612).
Provider details
- NPI number
- 1619145612
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vicki Roberts, Owner(573) 620-6444
- License
- 2005013758 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2011-09-08
Frequently asked questions
- What is Family Medicine of Southeast Missouri, LLC's NPI number?
- Family Medicine of Southeast Missouri, LLC's National Provider Identifier (NPI) is 1619145612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medicine of Southeast Missouri, LLC?
- Family Medicine of Southeast Missouri, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medicine of Southeast Missouri, LLC located?
- Family Medicine of Southeast Missouri, LLC's practice location on file with NPPES is 808 E Wakefield Ave, Sikeston, MO 63801-5147.
- What is Family Medicine of Southeast Missouri, LLC's phone number?
- The practice phone number listed in the NPPES registry for Family Medicine of Southeast Missouri, LLC is (573) 620-6444.
- Who is the authorized official for Family Medicine of Southeast Missouri, LLC?
- The authorized official listed on Family Medicine of Southeast Missouri, LLC's NPPES record is Vicki Roberts, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medicine of Southeast Missouri, LLC's NPI active?
- Yes — Family Medicine of Southeast Missouri, LLC's NPI (1619145612) is active in the NPPES registry as of the last update on 2011-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.