Organization Active NPI

East Detroit Primary Care, PLLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Detroit, MI
National Provider Identifier
1992649750
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST DETROIT PRIMARY CARE, PLLC
Practice address
6455 Gratiot Ave Ste B
Detroit, MI 48207-1953
Phone
(313) 789-1800
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Keturah Jeffries, MDNPI 1780028829
Title
Physician/Owner
Phone
(313) 789-1800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6455 Gratiot Ave Ste B
Detroit, MI 48207-1953

Mailing address

6455 Gratiot Ave Ste B
Detroit, MI 48207-1953
Phone (313) 789-1800

Other identifiers 1

IdentifierTypeStateIssuer
1780028829OtherMDNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

6455 Gratiot Ave
Ste B
Detroit, MI 48207
Phone (313) 789-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1992649750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 GRATIOT AVE STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071953",
            "telephone_number": "313-789-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 GRATIOT AVE STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071953",
            "telephone_number": "313-789-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DETROIT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "KETURAH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "313-789-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1780028829",
            "state": "MD"
        }
    ],
    "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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.