Individual provider Active NPI

Sean O'Morrow, PA-C

  • Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1942065669
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012061 Issued in MI
Practice address
5445 Ali Drive, Dept 320 Grand Blanc, Mi 48439
Dept 340
Grand Blanc, MI 48439
Phone
(810) 428-1181
Fax
(810) 426-0009
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012061 MI Primary

Addresses

Primary practice location

5445 Ali Drive, Dept 320 Grand Blanc, Mi 48439
Dept 340
Grand Blanc, MI 48439

Mailing address

5445 Ali Dr
Deptartment 340
Grand Blanc, MI 48439
Phone (810) 428-1181

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423002331 MI Practitioner - Physician Assistant 9234578246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognosis HealthGroup PAC ID 4587164314, 2 clinicians

Practice addresses (Care Compare)

5445 Ali Dr
Grand Blanc, MI 48439-5191
Phone (810) 428-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012061MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cognosis Health Physician Assistant CurrentSince Oct 21, 2025 Accepting new patients
Cognosis Health Hillside CurrentSince Oct 21, 2025 Accepting new patients

Locations

5445 Ali Dr
#340
Grand Blanc, MI 48439
Phone (551) 444-0924

5445 Ali Dr
Dept 330
Grand Blanc, MI 48439
Phone (551) 444-0924

5445 Ali Dr
#320
Grand Blanc, MI 48439
Phone (810) 428-1181

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1942065669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALI DR",
            "address_2": "DEPTARTMENT 340",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-428-1181",
            "fax_number": "810-426-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALI DRIVE, DEPT 320 GRAND BLANC, MI 48439",
            "address_2": "DEPT 340",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-428-1181",
            "fax_number": "810-426-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MORROW",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.