Complexcare Medical Group Mid-Atlantic H PLLC
Organization Active NPI Internal Medicine Physician · Novi, MI
NPI 1275427429 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1275427429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMPLEXCARE MEDICAL GROUP MID-ATLANTIC H PLLC
- Practice address
- 41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818 - Phone
- (248) 660-1220
- NPI assigned
- Jun 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Svetlana Vinokur
- Title
- Cfo
- Phone
- (847) 275-9504
Practitioners 78
-
Donna Smith Tate, FNP
-
Elizabeth Leigh Bradley, M. D.
-
Sagar V Dhanawade, FNP-C
-
Robert Guy Ferland, M.D.
-
Colton Edward Gramse, DNP, APRN, PMHNP-BC
-
Katherine Elizabeth James, FNP-C
-
Daniel J Lamont, PA-C
-
Annie Gaspard Lindor, APRN
-
Ashley Nichole Long, FNP
-
Beverly S Smallwood, FNP-C
-
Kady Stewart, APRN
-
Tiffany Anne Swanson, FNP
-
Bianca S Washington, FNP-BC
-
Melinda Donelle Wonsick, M.D.
-
Vickie M Johnson, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in KY, TN, DC, NC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250929002413 | KY | Part B Supplier - Clinic/Group Practice | 6709382831 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
| O20251002001541 | TN | Part B Supplier - Clinic/Group Practice | 6709382831 |
Receives reassigned benefits from 17 practitioners Practice locations: Blountville, TN; Tiptonville, TN; Spring Hill, TN; Murfreesboro, TN; Millington, TN; Memphis, TN; Knoxville, TN; Humboldt, TN… |
| O20251118004314 | DC | Part B Supplier - Clinic/Group Practice | 6709382831 |
Receives reassigned benefits from 1 practitioner Practice locations: MC Lean, VA |
| O20251210000400 | NC | Part B Supplier - Clinic/Group Practice | 6709382831 |
Receives reassigned benefits from 58 practitioners Practice locations: Jefferson, NC; Kinston, NC; Lincolnton, NC; Matthews, NC; Mebane, NC; Mint Hill, NC; New Bern, NC; Pinehurst, NC… |
| O20260303002965 | VA | Part B Supplier - Clinic/Group Practice | 6709382831 |
Receives reassigned benefits from 1 practitioner Practice locations: Norfolk, VA; Virginia Beach, VA |
National Provider Directory
Locations
41800 W 10 Mile Rd
Ste 109
Novi, MI 48375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Mailing address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (248) 660-1220
Other providers in Novi, MI
- Complete Infusion Services, LLC
- Completely Well Health & Wellness PC
- Complex Care Consultants LLC
- Complexcare Medical Group Kansas H LLC
- Complexcare Medical Group Kansas M LLC
- Complexcare Medical Group Midwest H PLLC
- Complexcare Medical Group Midwest M PLLC
- Complexcare Medical Group Mountain West H PLLC
- Complexcare Medical Group Northeast H PLLC
- Complexcare Medical Group Southeast H PLLC
All providers in Novi, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.