Individual provider Active NPI

Thomas Harvey Locke, MD

  • Public Health & General Preventive Medicine Physician
  • Novi, MI
National Provider Identifier
1770112724
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
35.148420 Issued in OH
Practice address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone
(248) 660-1220
Fax
(727) 819-2928
NPI assigned
Apr 2, 2020
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.148420 OH
Student in an Organized Health Care Education/Training Program 390200000X
Public Health & General Preventive Medicine Physician 2083P0901X 35.148420 OH Primary

Addresses

Primary practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Mailing address

6800 Encore Cir Unit 143
Maumee, OH 43537-7808
Phone (563) 379-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230919000886 OH Practitioner - Preventive Medicine 8628495397 Reassigns benefits to 3 organizations
I20241007000920 NC Practitioner - Preventive Medicine 8628495397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 Yanceyville St
Suite 200
Greensboro, NC 27405-6947
Phone (336) 429-5993

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148420OHMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health of Cary PLLC General Practice CurrentSince Oct 22, 2024 Accepting new patients
Active Life Health of Greensboro PLLC CurrentSince Sep 1, 2024 Accepting new patients
Active Life Health of Greensboro PLLC General Practice CurrentSince Sep 1, 2024 Accepting new patients
Active Life Health of Charlotte PLLC CurrentSince Jan 1, 2025 Accepting new patients
Active Life Health of Columbus LLC General Practice CurrentSince Jan 6, 2025 Accepting new patients
Active Life Health of Cincinnati LLC General Practice CurrentSince Jan 6, 2025 Accepting new patients
Active Life Health of Cary PLLC CurrentSince Oct 22, 2024 Accepting new patients
Theoria Medical CurrentSince Aug 6, 2023 Accepting new patients
Active Life Health of Columbus LLC CurrentSince Jan 6, 2025 Accepting new patients
Active Life Health of Charlotte PLLC General Practice CurrentSince Jan 1, 2025 Accepting new patients
Midwest Surgical Center LLC PastSince Nov 5, 2023 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

400 Ashville Ave
Ste 300
Cary, NC 27518
Phone (919) 233-2020

400 Ashville Ave
Ste 330
Cary, NC 27518
Phone (919) 371-2371

8401 Medical Plaza Dr
Ste 355
Charlotte, NC 28262
Phone (704) 272-3884

1414 Yanceyville St
Ste 200
Greensboro, NC 27405
Phone (336) 429-5993

8251 Pine Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 419-4158

6325 Emerald Pkwy
Ste 2B
Dublin, OH 43016
Phone (614) 333-5366

6325 Emerald Pkwy
Unit 1A
Dublin, OH 43016
Phone (614) 504-0741

6935 Monclova Rd
Maumee, OH 43537
Phone (419) 866-3030

5351 Mitchaw Rd
Sylvania, OH 43560
Phone (419) 824-6699

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1770112724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 ENCORE CIR UNIT 143",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435377808",
            "telephone_number": "563-379-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "248-660-1220",
            "fax_number": "727-819-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "THOMAS",
        "middle_name": "HARVEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.148420",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35.148420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.