Individual provider Active NPI

Jody Ann McMahon

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
National Provider Identifier
1205281565
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704263050 Issued in MI
Practice address
22250 Providence Dr
Southfield, MI 48075-4825
Phone
(248) 849-3939
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704263050 MI Primary

Addresses

Primary practice location

22250 Providence Dr
Southfield, MI 48075-4825

Mailing address

14850 Quorum Dr
120
Dallas, TX 75254-7566
Phone (844) 325-7722

Other names 1

  • Jody Ann Flood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160818000779 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214222033 Reassigns benefits to 12 organizations
I20250617002437 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214222033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, shared by 8 NPIs, 155 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health River District Hospital CurrentSince Jun 1, 2024 Accepting new patients
West Michigan Aas LLC CurrentSince Oct 13, 2024 Accepting new patients
PSJ Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2016 Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Nov 1, 2018 Accepting new patients
Macomb Endoscopy Center, PLC CurrentSince Jul 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Mar 23, 2025 Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients
Henry Ford Health Providence Hospital Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2025 Accepting new patients
Promedica Central Physicians CurrentSince May 30, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 17, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Nurse Anesthetist, Certified Registered CurrentSince May 17, 2020 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Nurse Anesthetist, Certified Registered CurrentSince May 17, 2020 Accepting new patients
Eastside Group LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2018 Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Promedica Central Physicians CurrentSince May 30, 2025 Accepting new patients
GLPS Staffing Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2019 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

7967 Solutions Ctr Dr
Chicago, IL 60677

7920 Solutions Ctr Dr
Chicago, IL 60677

7924 Solutions Ctr Dr
Chicago, IL 60677

30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

17700 23 Mile Rd
Ste 250
Macomb, MI 48044
Phone (586) 416-7500

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

28963 Little Mack Ave
Ste 10
St Clr Shores, MI 48081
Phone (586) 447-5110

28963 Little Mack Ave
Ste 103
St Clr Shores, MI 48081
Phone (586) 447-5110

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1205281565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR",
            "address_2": "120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547566",
            "telephone_number": "844-325-7722",
            "fax_number": "214-242-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-849-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JODY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704263050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "FLOOD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former 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 Apr 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.