Individual provider Active NPI

Teniesha Nicole Wright-Jones, DO

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1699710640
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015647 Issued in MI
Practice address
22250 Providence Dr Ste 500
Deighton Family Practice
Southfield, MI 48075-6213
Phone
(248) 849-3441
Fax
(248) 849-5389
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015647 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 500
Deighton Family Practice
Southfield, MI 48075-6213

Mailing address

43750 Garfield Rd
Suite 211
Clinton Township, MI 48038-1135
Phone (877) 996-9975

Other identifiers 3

IdentifierTypeStateIssuer
4914353/11MedicaidMI
080F3342800OtherBCBSM
700E012740OtherMIBCBS GROUP NUMBER

Other names 1

  • Teniesha Nichole Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000510 MI Practitioner - Family Practice 1850394594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26750 Providence Pkwy
Novi, MI 48374-1211
Phone (248) 465-4782

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015647MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 1, 2007 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

210 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-1744

22250 Providence Dr
Ste 500
Southfield, MI 48075
Phone (248) 849-3441

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: teniesha.wright-jones.1@16555.direct.athenahealth.com
  • Direct secure messaging: twrightjones1158243@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1699710640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43750 GARFIELD RD",
            "address_2": "SUITE 211",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381135",
            "telephone_number": "877-996-9975",
            "fax_number": "586-228-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 500",
            "address_2": "DEIGHTON FAMILY PRACTICE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756213",
            "telephone_number": "248-849-3441",
            "fax_number": "248-849-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-JONES",
        "first_name": "TENIESHA",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4914353/11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080F3342800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENIESHA",
            "last_name": "WRIGHT",
            "middle_name": "NICHOLE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.