Active NPI
Joanna Gammons, D.O.
- Dermatology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- JG014835
- Practice address
- 713 N Main St
Royal Oak, MI 48067-1835 - Phone
- (248) 548-7707
- Fax
- (248) 548-7736
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | JG014835 | MI | Primary |
Addresses
Primary practice location
713 N Main St
Royal Oak, MI 48067-1835
Mailing address
713 N Main St
Royal Oak, MI 48067-1835
Phone (248) 548-7707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W 11 Mile Rd
Royal Oak, MI 48067-2454
Phone (248) 439-6375
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 13 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1690 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JG014835 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Dermatology | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Koprince Dermatology PLC | Dermatology | Past | Accepting new patients |
Locations
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1200 W 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 268-3770
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Dermatology
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- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Dermatology Physician
- Royal Oak, MI
- NPI 1821298167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255371670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 N MAIN ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671835",
"telephone_number": "248-548-7707",
"fax_number": "248-548-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 N MAIN ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671835",
"telephone_number": "248-548-7707",
"fax_number": "248-548-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMONS",
"first_name": "JOANNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "JG014835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.