Active NPI
Michele Adams-Calloway, CHW
- Community Health Worker
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 12121 Broadstreet Ave
Detroit, MI 48204-1550 - Phone
- (313) 824-1000
- NPI assigned
- Feb 7, 2024
- Last updated
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Primary |
Addresses
Primary practice location
12121 Broadstreet Ave
Detroit, MI 48204-1550
Mailing address
3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone (313) 871-3751
Other practice location 1
10809 Mack Ave
Detroit, MI 48214-2119
Phone (313) 824-1000 ext. 1
Other practice location 2
27777 Lahser Rd
Southfield, MI 48034-4751
Phone (313) 824-1000 ext. 4
Other practice location 3
23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750
Phone (313) 824-1000 ext. 3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Wayne County Health Authority | Current | Accepting new patients | |
| Detroit Wayne County Health Authority | Past | Accepting new patients |
Locations
10809 Mack Ave
Detroit, MI 48214
Phone (313) 824-1000
12121 Broadstreet Ave
Detroit, MI 48204
Phone 3138241000 ext. 2
3031 W Grand Blvd
Ste 600
Detroit, MI 48202
Phone (313) 346-5235
23077 Greenfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 424-8888
27777 Lahser Rd
Southfield, MI 48034
Phone (248) 746-8840
Interoperability endpoints
- https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1245182963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1881458248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD STE 600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023014",
"telephone_number": "313-871-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 BROADSTREET AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482041550",
"telephone_number": "313-824-1000"
}
],
"practiceLocations": [
{
"address_1": "10809 Mack Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482142119",
"country_code": "US",
"telephone_number": "313-824-1000 x1",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27777 Lahser Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480344751",
"country_code": "US",
"telephone_number": "313-824-1000 x4",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23077 Greenfield Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753750",
"country_code": "US",
"telephone_number": "313-824-1000 x3",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS-CALLOWAY",
"first_name": "MICHELE",
"credential": "CHW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.