Organization Active NPI

Violet Health PC

  • Family Medicine Physician
  • Sylvan Lake, MI
National Provider Identifier
1003683137
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIOLET HEALTH PC
Practice address
2256 Orchard Lake Rd
Sylvan Lake, MI 48320-1750
Phone
(248) 416-1499
Fax
(248) 971-1132
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jalal Thwainey, MDNPI 1568432441
Title
Owner
Phone
(248) 416-1499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2256 Orchard Lake Rd
Sylvan Lake, MI 48320-1750

Mailing address

2256 Orchard Lake Rd
Sylvan Lake, MI 48320-1750
Phone (248) 416-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002604 MI Part B Supplier - Clinic/Group Practice 0446693238 Receives reassigned benefits from 5 practitioners
Practice locations: Clinton TWP, MI; Sylvan Lake, MI; Lathrup Village, MI

National Provider Directory

National Provider Directory

Locations

16624 19 Mile Rd
Clinton Twp, MI 48038
Phone (248) 416-1499

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1003683137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201750",
            "telephone_number": "248-416-1499",
            "fax_number": "248-971-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201750",
            "telephone_number": "248-416-1499",
            "fax_number": "248-971-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "THWAINEY",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-416-1499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvan Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.