Individual provider Active NPI

Gina Newsome, DO

  • Obstetrics & Gynecology Physician
  • Novi, MI
National Provider Identifier
1306587092
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101029014 Issued in MI
Practice address
46325 W Twelve Mile Rd Ste 250
Novi, MI 48377-2461
Phone
(248) 465-1200
Fax
(248) 465-2850
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101029014 MI Primary

Addresses

Primary practice location

46325 W Twelve Mile Rd Ste 250
Novi, MI 48377-2461

Mailing address

46325 W Twelve Mile Rd Ste 250
Novi, MI 48377-2461
Phone (248) 465-1200

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
I20220706002943 MI Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 6608256847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101029014MIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1306587092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W TWELVE MILE RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772461",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W TWELVE MILE RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772461",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101029014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.