Organization Active NPI

Preferred Medical Services PLLC

  • Medical Physician Assistant
  • Detroit, MI
National Provider Identifier
1609699842
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
PREFERRED MEDICAL SERVICES PLLC
Practice address
5575 Conner St Ste 203
Detroit, MI 48213-6401
Phone
(313) 305-4210
Fax
(313) 305-7336
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Rocelious Goodson III, PA-C
Title
Organizer
Phone
(313) 305-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

5575 Conner St Ste 203
Detroit, MI 48213-6401

Mailing address

143 Cadycentre Unit 151
Northville, MI 48167-1119
Phone (313) 850-6549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1609699842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CADYCENTRE UNIT 151",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671119",
            "telephone_number": "313-850-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 203",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "313-305-4210",
            "fax_number": "313-305-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "ROCELIOUS",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "313-305-4210",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 23, 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.