Active NPI
Mymichigan Medical Group
- Family Medicine Physician
- Midland, MI
National Provider Identifier
1801008735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CN083244
- Legal business name
- MYMICHIGAN MEDICAL GROUP
- Practice address
- 4000 Wellness Dr
Midland, MI 48670-0001 - Phone
- (989) 539-4096
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah James
- Title
- Manager, Provider Enrollment
- Phone
- (989) 701-4734
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CN083244 | MI | Primary |
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
4000 Wellness Dr
Midland, MI 48670-0001
Mailing address
4000 Wellness Dr
Midland, MI 48670-0001
Phone (844) 832-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| 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… |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics & Gynecology Physician
- Midland, MI
- NPI 1477503852
O20040126000905
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1801008735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "844-832-1956",
"fax_number": "989-633-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-539-4096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYMICHIGAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "989-701-4734"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "CN083244",
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.