Active NPI
Janiece Gray-Hill
- Health Maintenance Organization
- Novi, MI
National Provider Identifier
1396130308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 4703109970
- Practice address
- 25583 Portico LN
Novi, MI 48375-1862 - Phone
- (313) 624-7962
- Fax
- (248) 692-0828
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 4703109970 | MI | Primary |
Addresses
Primary practice location
25583 Portico LN
Novi, MI 48375-1862
Mailing address
25583 Portico LN
Novi, MI 48375-1862
Phone (313) 624-7962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703109970 | MI | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1396130308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25583 PORTICO LN",
"city": "NOVI",
"state": "MI",
"postal_code": "483751862",
"telephone_number": "313-624-7962",
"fax_number": "248-692-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25583 PORTICO LN",
"city": "NOVI",
"state": "MI",
"postal_code": "483751862",
"telephone_number": "313-624-7962",
"fax_number": "248-692-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY-HILL",
"first_name": "JANIECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MI",
"license": "4703109970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.