Organization Active NPI

Ascend Medical Michigan PC

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1114596426
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASCEND MEDICAL MICHIGAN PC
Practice address
2000 Town Ctr Ste 660
Southfield, MI 48075-1199
Phone
(404) 947-8066
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Michelle Michelle Justice
Title
Director of Revenue Cycle
Phone
(678) 500-8010

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Town Ctr Ste 660
Southfield, MI 48075-1199

Mailing address

3560 Lenox Rd NE Ste 1230
Atlanta, GA 30326-4266
Phone (888) 250-5708

Other practice location 1

3560 Lenox Rd NE Ste 1230
Atlanta, GA 30326-4266
Phone (404) 947-8066

Other names 1

  • Ascend Medical Michigan Other name

National Provider Directory

National Provider Directory

Locations

2000 Town Ctr
Ste 660
Southfield, MI 48075
Phone (404) 947-8066

3000 Town Ctr
Ste 2500
Southfield, MI 48075

Practitioners & affiliated clinicians

Practitioners 1

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": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1114596426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 LENOX RD NE STE 1230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303264266",
            "telephone_number": "888-250-5708",
            "fax_number": "470-276-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TOWN CTR STE 660",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751199",
            "telephone_number": "404-947-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Lenox Rd NE Ste 1230",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303264266",
            "country_code": "US",
            "telephone_number": "404-947-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASCEND MEDICAL MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "678-500-8010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Medical Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.