Organization Active NPI

Project Healthy Community

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1114761988
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROJECT HEALTHY COMMUNITY
Practice address
18100 Meyers Rd
Detroit, MI 48235-1426
Phone
(248) 892-4585
NPI assigned
Jun 25, 2024
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Sasha Kersey, MPH
Title
Director of Family Wellness Program
Phone
(313) 898-1441

Specialties & licenses 1

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

Addresses

Primary practice location

18100 Meyers Rd
Detroit, MI 48235-1426

Mailing address

PO Box 252433
West Bloomfield, MI 48325-2433
Phone (248) 892-4585

Other practice location 1

30701 Woodward Ave Ste 305
Royal Oak, MI 48073-0987
Phone (248) 892-4585

Other practice location 2

10809 Mack Ave
Detroit, MI 48214-2119
Phone (313) 898-1441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203001117 MI Part B Supplier - Clinic/Group Practice 6204361041 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1114761988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252433",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483252433",
            "telephone_number": "248-892-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 MEYERS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351426",
            "telephone_number": "248-892-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30701 Woodward Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730987",
            "country_code": "US",
            "telephone_number": "248-892-4585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10809 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482142119",
            "country_code": "US",
            "telephone_number": "313-898-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROJECT HEALTHY COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "KERSEY",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "DIRECTOR OF FAMILY WELLNESS PROGRAM",
        "authorized_official_telephone_number": "313-898-1441",
        "authorized_official_credential": "MPH"
    },
    "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 Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.