Individual provider Active NPI

Carey Marie Vigor, MD

  • Family Medicine Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1124049705
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301039392 Issued in MI
Practice address
2081 Norwood Dr
Grosse Pointe Woods, MI 48236-1745
Phone
(810) 986-3224
Fax
(888) 396-3436
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 4301039392 MI
Neurology Physician 2084N0400X 4301039392 MI
Clinical Neurophysiology Physician 2084N0600X 4301039392 MI
Psychiatry Physician 2084P0800X 4301039392 MI
Addiction Psychiatry Physician 2084P0802X 4301039392 MI
Geriatric Psychiatry Physician 2084P0805X 4301039392 MI
Pain Medicine Physician 208VP0000X 4301039392 MI
Family Medicine Physician 207Q00000X 4301039392 MI Primary

Addresses

Primary practice location

2081 Norwood Dr
Grosse Pointe Woods, MI 48236-1745

Mailing address

2081 Norwood Dr
Grosse Pointe Woods, MI 48236-1745
Phone (810) 986-3224

Other practice location 1

1111 E 54th St
Ste 119
Indianapolis, IN 46220-3212
Phone (586) 615-4323

Other practice location 2

29700 Harper Ave Ste 1A
Saint Clair Shores, MI 48082-2601
Phone (810) 986-3224

Other practice location 3

24001 Greater Mack Ave Ste A
Saint Clair Shores, MI 48080-1471
Phone (810) 986-3224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000588 MI Practitioner - PsychiatryPractitioner - NeuropsychiatryPractitioner - Other (Physician)Practitioner - Addiction MedicinePractitioner - Geriatric PsychiatryPractitioner - General PracticePractitioner - Pain Management 1355240474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry, Neuropsychiatry, Pain Management
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2081 Norwood Dr
Grosse Pointe Woods, MI 48236-1745
Phone (586) 945-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301039392MIMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Center Community Mental Health Services Past Accepting new patients
Sunrise Adult Day Care Center LLC Past Accepting new patients
Auburn Counseling Associates, Inc. Past Accepting new patients
New Sunrise Adult Daycare LLC Past Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients
New Haven Adult Day Care LLC Past Accepting new patients
New Sunrise Day Care LLC Past Accepting new patients
Hegira Health, Inc. Past Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients
Senior Health Care Associates, PC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1124049705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 NORWOOD DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361745",
            "telephone_number": "810-986-3224",
            "fax_number": "888-396-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 NORWOOD DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361745",
            "telephone_number": "810-986-3224",
            "fax_number": "888-396-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E 54th St",
            "address_2": "STE 119",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462203212",
            "country_code": "US",
            "telephone_number": "586-615-4323",
            "fax_number": "810-794-1844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29700 Harper Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480822601",
            "country_code": "US",
            "telephone_number": "810-986-3224",
            "fax_number": "888-396-3436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24001 Greater Mack Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801471",
            "country_code": "US",
            "telephone_number": "810-986-3224",
            "fax_number": "888-396-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGOR",
        "first_name": "CAREY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301039392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.