Active NPI
Womens Life Cycles OB GYN PC
- Obstetrics & Gynecology Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301079947
- Legal business name
- WOMENS LIFE CYCLES OB GYN PC
- Practice address
- 5820 N Canton Center Rd Ste 120
Canton, MI 48187-2679 - Phone
- (734) 981-2800
- NPI assigned
- Nov 4, 2009
- 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
- Jyothi Nichanametla, M.D.
- Title
- Owner
- Phone
- (734) 981-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301079947 | MI | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5820 N Canton Center Rd Ste 120
Canton, MI 48187-2679
Mailing address
42287 Cherry Hill Rd
Suite D
Canton, MI 48188-1975
Phone (734) 981-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2000265 | Women'S Life Cycles OB GYN | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
2050 N Haggerty Rd
Ste 200
Canton, MI 48187
Phone (313) 438-7880
30555 Southfield Rd
Ste 120
Southfield, MI 48076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1144332800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757203200000",
"number": "1922335488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42287 CHERRY HILL RD",
"address_2": "SUITE D",
"city": "CANTON",
"state": "MI",
"postal_code": "481881975",
"telephone_number": "734-981-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 N CANTON CENTER RD STE 120",
"city": "CANTON",
"state": "MI",
"postal_code": "481872679",
"telephone_number": "734-981-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS LIFE CYCLES OB GYN PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-04",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A",
"authorized_official_last_name": "NICHANAMETLA",
"authorized_official_first_name": "JYOTHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-981-2800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301079947",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.