BERRY JOHNSON HEALTH PLLC
NPI 1053910687
Internal Medicine in Southfield, MI
About Berry Johnson Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERRY JOHNSON HEALTH PLLC (NPI 1053910687) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Neesha Berry, Co Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Berry Johnson Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Berry Johnson Health PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2234523
Berry Johnson Health, PLLC · Southfield, MIFrequently 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 Berry Johnson Health PLLC's NPI number?
The NPI number for Berry Johnson Health PLLC is 1053910687. It was assigned to this organization in the NPPES registry on October 24, 2020.
Where is Berry Johnson Health PLLC located?
Berry Johnson Health PLLC is located at 26400 W 12 Mile Rd Ste 110, Southfield, MI 48034. The listed phone number is (248) 833-6300.
What is Berry Johnson Health PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Berry Johnson Health PLLC enrolled in Medicare?
Yes. Berry Johnson Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Berry Johnson Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Berry Johnson Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Berry Johnson Health PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2234523) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Berry Johnson Health PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Berry Johnson Health 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 Berry Johnson Health PLLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Berry Johnson Health Pllc · NPI 1053910687
Internal Medicine organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since October 24, 2020.
## Identity
- **NPI:** 1053910687 (Entity type: Organization)
- **Enumerated:** October 24, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Neesha Berry, CO OWNER
## Practice location
- **Address:** 26400 W 12 MILE RD STE 110, Southfield, MI 48034-1771
- **Phone:** (248) 833-6300 · **Fax:** (248) 833-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053910687) · Data from the CMS NPPES public registry.