Active NPI
Midland Family Physicians PC
- Family Medicine Physician
- Midland, MI
National Provider Identifier
1386737815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIDLAND FAMILY PHYSICIANS PC
- Practice address
- 920 W Wackerly St
Midland, MI 48640-2700 - Phone
- (989) 839-9937
- Fax
- (989) 839-9220
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Ann Lee
- Title
- Manager
- Phone
- (989) 839-9937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
920 W Wackerly St
Midland, MI 48640-2700
Mailing address
920 W Wackerly St
Midland, MI 48640-2798
Phone (989) 839-9937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080E660120 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000233 | MI | Part B Supplier - Clinic/Group Practice | 4385547751 |
Receives reassigned benefits from 17 practitioners Practice locations: Midland, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0374726 | Midland Family Physicians | Certificate of waiver | Oct 7, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Midland, MI
- NPI 1184719601
Family Medicine, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1386737815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402798",
"telephone_number": "989-839-9937",
"fax_number": "989-839-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402700",
"telephone_number": "989-839-9937",
"fax_number": "989-839-9220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLAND FAMILY PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "989-839-9937"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "080E660120",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.