Organization Active NPI

Healing Hands Family Health Center PLLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1942244785
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061672 Issued in MI
Legal business name
HEALING HANDS FAMILY HEALTH CENTER PLLC
Practice address
20905 Greenfield Rd Ste 600
Southfield, MI 48075-5355
Phone
(586) 646-2100
Fax
(586) 327-1441
NPI assigned
Jun 15, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Dr. Camille Johnson, MDNPI 1558337147
Title
Owner/Physician
Phone
(586) 646-2100

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301061672 MI Primary
Pediatrics Physician 208000000X 4301061672 MI

Addresses

Primary practice location

20905 Greenfield Rd Ste 600
Southfield, MI 48075-5355

Mailing address

19785 W 12 Mile Rd # 591
Southfield, MI 48076-2584
Phone (586) 646-2100

Other identifiers 3

IdentifierTypeStateIssuer
110E021010OtherMIBC GROUP
4706904MedicaidMI
110E021010OtherMIBCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000771 MI Part B Supplier - Clinic/Group Practice 0143276386 Receives reassigned benefits from 2 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

1538 Momentum Pl
Chicago, IL 60689

15301 E 8 Mile Rd
Eastpointe, MI 48021
Phone (586) 776-5677

20951 Kelly Rd
Eastpointe, MI 48021
Phone (586) 776-5677

21040 Greenfield Rd
Ste 200
Oak Park, MI 48237
Phone (248) 967-1888

20905 Greenfield Rd
Ste 600M
Southfield, MI 48075
Phone (586) 646-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1942244785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 591",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "586-646-2100",
            "fax_number": "586-327-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 600",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755355",
            "telephone_number": "586-646-2100",
            "fax_number": "586-327-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS FAMILY HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "586-646-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061672",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301061672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "110E021010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4706904",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "110E021010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.

Verify at the official NPI Registry.