PREMIER FAMILY MEDICINE PLLC
NPI 1194147959
Family Medicine in Southfield, MI

Active since January 14, 2014CLIA 23D0863504 · Waiver
23031 WREXFORD DR, SOUTHFIELD, MI 48033(248) 442-9320 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Family Medicine Pllc NPPES

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

PREMIER FAMILY MEDICINE PLLC (NPI 1194147959) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Sharon Williamson, Manager, as its authorized official.

NPPES Registry Identity

NPI1194147959
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER FAMILY MEDICINE PLLC
Location Address23031 WREXFORD DRSouthfield, MI 48033-6575
Mailing Address23031 Wrexford DrSouthfield, MI 48033-6575
Organization SubpartNo
Authorized OfficialSharon WilliamsonManager · (947) 282-5079
Enumeration DateJanuary 14, 2014
Last NPPES UpdateMay 22, 2023
NPPES CertifiedMay 22, 2023
NPI 1194147959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101009333
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.
23031 WREXFORD DR, Southfield, MI 48033

Other Identifiers 1

Medicaid4370959MI

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

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 23D0863504

Premier Family Medicine, PLLC · Southfield, MI
Active · expires Jun 15, 2027
CLIA Number23D0863504
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDerrick A. Williamson
Laboratory Phone(248) 442-9320
Laboratory LocationPremier Family Medicine, PLLC22255 Greenfield Suite 580, Southfield, MI 48075
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premier Family Medicine PLLC's NPI number?

The NPI number for Premier Family Medicine PLLC is 1194147959. It was assigned to this organization in the NPPES registry on January 14, 2014.

Where is Premier Family Medicine PLLC located?

Premier Family Medicine PLLC is located at 23031 Wrexford Dr, Southfield, MI 48033. The listed phone number is (248) 442-9320.

What is Premier Family Medicine PLLC's specialty?

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

Does Premier Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0863504) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Family Medicine PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Premier Family Medicine 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 Premier Family Medicine PLLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.