Individual provider Active NPI

Annette Carron, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Farmington Hills, MI
National Provider Identifier
1306805866
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5101011445 Issued in MI
Practice address
28080 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5966
Phone
(734) 464-0887
Fax
(734) 402-0254
NPI assigned
Mar 22, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5101011445 MI Primary

Addresses

Primary practice location

28080 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5966

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887

Other identifiers 2

IdentifierTypeStateIssuer
110F376980OtherMIBCBSM
3410577MedicaidMI

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
I20080905000261 MI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0244306850 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

47901 Sugarbush Rd
Chesterfield, MI 48047-2243
Phone (586) 210-7102

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 15, 2017 Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine CurrentSince Jun 15, 2017 Accepting new patients
Mi Pacs 2 PC CurrentSince May 13, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Botsford General Hospital Internal Medicine CurrentSince Aug 25, 2008 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Sep 20, 2025 Accepting new patients
Botsford General Hospital CurrentSince Aug 25, 2008 Accepting new patients
Seasons Medical Group of Michigan, PC CurrentSince Jul 20, 2014 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
CS Pacs 3 Midwest LLC Internal Medicine CurrentSince Oct 24, 2024 Accepting new patients
St Clair Opco LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations (25 of 30)

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

47901 Sugarbush Rd
Chesterfield, MI 48047
Phone (586) 210-7101

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

4220 Hospital Dr
East China, MI 48054
Phone (810) 329-4735

28080 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 471-8982

28100 Grand River Ave
Ste 206
Farmington Hills, MI 48336
Phone (248) 471-1549

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

32754 Grand River Ave
Farmington Hls, MI 48336
Phone (248) 476-3280

512 Beach St
Fenton, MI 48430
Phone (810) 629-4117

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

Interoperability endpoints

  • Direct secure messaging: acarron@direct.dmc.org
  • Direct secure messaging: acarron451128@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1306805866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE",
            "address_2": "SUITE 306",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRON",
        "first_name": "ANNETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101011445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F376980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.