Northern Roots Medical Associates P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHERN ROOTS MEDICAL ASSOCIATES P.L.L.C.

Doing business as

Northern Roots Wellness and Medicine

Practice address

1396 Douglas Dr
Ste 22C
Traverse City, MI 49696-8981

Phone

(231) 440-9956

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Hannah Wilson, PA-C

Title

Manager

Phone

(231) 440-9956

Specialties & licenses 1

Addresses

Other names 1

• Northern Roots Wellness and Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1528925971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 DOUGLAS DR",
            "address_2": "STE 22C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968981",
            "telephone_number": "231-440-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 DOUGLAS DR",
            "address_2": "STE 22C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968981",
            "telephone_number": "231-440-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ROOTS MEDICAL ASSOCIATES P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "231-440-9956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Roots Wellness and Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.