Organization Active NPI

Medical Services Group PLC

  • Pain Medicine Physician
  • Detroit, MI
National Provider Identifier
1538829288
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MEDICAL SERVICES GROUP PLC
Practice address
22341 W 8 Mile Rd Ste 4
Detroit, MI 48219-1217
Phone
(313) 340-2655
Fax
(313) 340-2666
NPI assigned
Dec 22, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Charlotte Johnson
Title
Administrator
Phone
(313) 805-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

22341 W 8 Mile Rd Ste 4
Detroit, MI 48219-1217

Mailing address

11774 Rosemary St
Detroit, MI 48213-1349
Phone (313) 340-2655

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PracticeFusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

22341 W 8 Mile Rd
Ste 4
Detroit, MI 48219
Phone (301) 560-1590

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1538829288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11774 ROSEMARY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131349",
            "telephone_number": "313-340-2655",
            "fax_number": "313-340-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22341 W 8 MILE RD STE 4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191217",
            "telephone_number": "313-340-2655",
            "fax_number": "313-340-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-09-11",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-805-6055"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PracticeFusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "22341 W 8 Mile Rd Ste 4",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482191217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.