Active NPI
Coordinated Medical I PLLC
- General Practice Physician
- Novi, MI
National Provider Identifier
1053019679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COORDINATED MEDICAL I PLLC
- Practice address
- 39555 Orchard Hill PL Ste 600
Novi, MI 48375-5381 - Phone
- (833) 633-1295
- NPI assigned
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Atkinson
- Title
- Operations Manager
- Phone
- (870) 310-8655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
39555 Orchard Hill PL Ste 600
Novi, MI 48375-5381
Mailing address
210 Athens Way Ste 100
Nashville, TN 37228-1308
Phone (833) 633-1295
Other names 1
- Honest Medical Group PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Foster City, CA
- NPI 1184988255
-
- Family Medicine Physician
- East Amherst, NY
- NPI 1518928290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1053019679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ATHENS WAY STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281308",
"telephone_number": "833-633-1295",
"fax_number": "615-270-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39555 ORCHARD HILL PL STE 600",
"city": "NOVI",
"state": "MI",
"postal_code": "483755381",
"telephone_number": "833-633-1295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COORDINATED MEDICAL I PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2025-05-19",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "ATKINSON",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "870-310-8655"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Honest Medical Group PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.