Mymichigan Medical Group
Organization Active NPI Psychiatry Physician · Midland, MI
NPI 1568412948 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1568412948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- MYMICHIGAN MEDICAL GROUP
- Practice address
- 4201 Campus Ridge Dr Ste 2700
Midland, MI 48640-6128 - Phone
- (989) 839-3385
- Fax
- (989) 839-1491
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Sarah James
- Title
- Manager, Provider Enrollment
- Phone
- (989) 701-4734
Other NPIs on the same Medicare enrollment 6
Practitioners 2
-
Travis C Taylor, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000905 | MI | Part B Supplier - Clinic/Group Practice | 4981501939 |
Receives reassigned benefits from 223 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Midland, MI; Gladwin, MI; Harrison, MI; Farwell, MI; Mt Pleasant, MI; Saginaw, MI; Saint Louis, MI; Standish, MI… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
4201 Campus Ridge Dr Ste 2700
Midland, MI 48640-6128
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956
Other providers in Midland, MI
- Mymichigan Medical Center Midland
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
- Mymichigan Medical Group
All providers in Midland, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.