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ENVISION MEDICAL GROUP PLLC
NPI 1003125774
Family Medicine in South Lyon, MI

Active since September 29, 2010
12660 TEN MILE RD, SOUTH LYON, MI 48178(248) 348-1131 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Envision Medical Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVISION MEDICAL GROUP PLLC (NPI 1003125774) is a healthcare organization registered as a family medicine in South Lyon, Michigan and active in the NPI registry since September 2010. The organization lists Michael Wayne, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1003125774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameENVISION MEDICAL GROUP PLLC
Location Address12660 TEN MILE RDSouth Lyon, MI 48178-9141
Mailing Address27275 Haggerty Rd Ste 500Novi, MI 48377-3635 · (248) 741-6901 · Fax (248) 721-8203
Phone(248) 348-1131
Organization SubpartNo
Authorized OfficialMichael WayneManaging Member · (248) 348-8700
Enumeration DateSeptember 29, 2010
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1003125774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPhysician AssistantTaxonomy 363A00000X
12660 TEN MILE RD, South Lyon, MI 48178
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RACHAEL LYNN BLEA PA-C
Physician Assistant (Medical)
12660 TEN MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 348-1131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envision Medical Group PLLC's NPI number?

The NPI number for Envision Medical Group PLLC is 1003125774. It was assigned to this organization in the NPPES registry on September 29, 2010.

Where is Envision Medical Group PLLC located?

Envision Medical Group PLLC is located at 12660 Ten Mile Rd, South Lyon, MI 48178. The listed phone number is (248) 348-1131.

What is Envision Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Envision Medical Group PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Envision Medical Group PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Envision Medical Group PLLC was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.