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SILVER LAKE FAMILY PRACTICE PLLC
NPI 1124208608
Family Medicine in Fenton, MI

Active since November 13, 2007CLIA 23D1037086 · Waiver
1100 TORREY RD STE 400, FENTON, MI 48430(810) 714-7369(810) 714-9258 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Silver Lake Family Practice Pllc NPPES

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

SILVER LAKE FAMILY PRACTICE PLLC (NPI 1124208608) is a healthcare organization registered as a family medicine in Fenton, Michigan and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Donna Benford, Owner, as its authorized official.

NPPES Registry Identity

NPI1124208608
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSILVER LAKE FAMILY PRACTICE PLLC
Location Address1100 TORREY RD STE 400Fenton, MI 48430-3330
Mailing Address1100 Torrey Rd Ste 400Fenton, MI 48430-3330 · (810) 714-7369 · Fax (810) 714-9258
Phone(810) 714-7369
Fax(810) 714-9258
Organization SubpartNo
Authorized OfficialDonna BenfordOwner · (810) 714-7369
Enumeration DateNovember 13, 2007
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1124208608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1100 TORREY RD STE 400, Fenton, MI 48430
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D1037086

Silver Lake Family Practice · Fenton, MI
Active · expires Feb 14, 2027
CLIA Number23D1037086
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDonna Benford
Laboratory Phone(810) 714-7369
Laboratory LocationSilver Lake Family Practice1100 Torrey Road Suite 400, Fenton, MI 48430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. DONNA BENFORD D.O.
Family Medicine
1100 TORREY RD STE 400
FENTON, MI 48430
Genesee County (810) 714-7369

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 Silver Lake Family Practice PLLC's NPI number?

The NPI number for Silver Lake Family Practice PLLC is 1124208608. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Silver Lake Family Practice PLLC located?

Silver Lake Family Practice PLLC is located at 1100 Torrey Rd Ste 400, Fenton, MI 48430. The listed phone number is (810) 714-7369.

What is Silver Lake Family Practice PLLC's specialty?

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

Does Silver Lake Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1037086) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Silver Lake Family Practice PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Silver Lake Family Practice 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 Silver Lake Family Practice PLLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.