Organization Active NPI

Ascend Medical Michigan II PC

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1205408093
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 II PC
Practice address
2000 Town Ctr Ste 660
Southfield, MI 48075-1199
Phone
(404) 947-8066
NPI assigned
Jul 12, 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: 193400000X MULTIPLE SINGLE 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 (404) 947-8066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1205408093",
    "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": "404-947-8066"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "ASCEND MEDICAL MICHIGAN II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.