Active NPI
Samantha Thomas, PA-C
- Physician Assistant
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010902
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010902 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Phone (313) 874-4806
Other practice location 1
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400
15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288
24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000
2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010902 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Urgent Care PLLC | Past | Accepting new patients | |
| Eastpointe Urgent Care Walk in Clinic P.C. | Past | Accepting new patients | |
| Garg and Associates Inc | Past | Accepting new patients |
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Clinton TWP, MI
- NPI 1073289013
-
- Urgent Care Clinic/Center
- Shelby Township, MI
- NPI 1033865464
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1891381232
-
- Urgent Care Clinic/Center
- Oak Park, MI
- NPI 1770980385
-
- Urgent Care Clinic/Center
- Roseville, MI
- NPI 1811297070
-
- Urgent Care Clinic/Center
- Lincoln Park, MI
- NPI 1578035317
-
- Urgent Care Clinic/Center
- Madison Heights, MI
- NPI 1295240307
-
- Urgent Care Clinic/Center
- Pontiac, MI
- NPI 1740999077
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1811278716
-
- Health Service Clinic/Center
- Rochester Hills, MI
- NPI 1326630716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1104578582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670884",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670884",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
}
],
"practiceLocations": [
{
"address_1": "20769 E 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MI",
"postal_code": "480664503",
"country_code": "US",
"telephone_number": "586-872-2288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.