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PRIMECARE OF NOVI PLLC
NPI 1235281916
Family Medicine in Novi, MI

Active since January 16, 2007CLIA 23D0977656 · Waiver
39555 WEST TEN MILE RD, SUITE 302, NOVI, MI 48375(248) 426-7200(248) 426-7335 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primecare Of Novi Pllc NPPES

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

PRIMECARE OF NOVI PLLC (NPI 1235281916) is a healthcare organization registered as a family medicine in Novi, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Theodore W Shively, Member, as its authorized official.

NPPES Registry Identity

NPI1235281916
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMECARE OF NOVI PLLC
Location Address39555 WEST TEN MILE RD, SUITE 302Novi, MI 48375-2950
Mailing Address39555 West Ten Mile Rd, Suite 302Novi, MI 48375-2950 · (248) 426-7200 · Fax (248) 426-7335
Phone(248) 426-7200
Fax(248) 426-7335
Organization SubpartNo
Authorized OfficialTheodore W ShivelyMember · (248) 426-7200
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 25, 2010
✔ NPI 1235281916 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.
39555 WEST TEN MILE RD, Novi, MI 48375
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Other Identifiers 2

Other0F316970MI · Blue Cross Blue Shield Mi
Medicare ID-Type Unspecified0N14770MI

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 Care Network of Michigan, 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 23D0977656

Prime Care Of Novi, PLLC · Novi, MI
Active · expires Aug 30, 2026
CLIA Number23D0977656
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorTheodore W. Shively
Laboratory Phone(248) 426-7200
Laboratory LocationPrime Care Of Novi, PLLC39555 W 10 Mile Road Suite 302, Novi, MI 48375
CLIA data matches this NPI record on: 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 Primecare Of Novi PLLC's NPI number?

The NPI number for Primecare Of Novi PLLC is 1235281916. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Primecare Of Novi PLLC located?

Primecare Of Novi PLLC is located at 39555 West Ten Mile Rd Suite 302, Novi, MI 48375. The listed phone number is (248) 426-7200.

What is Primecare Of Novi PLLC's specialty?

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

Does Primecare Of Novi PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0977656) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primecare Of Novi PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Primecare Of Novi 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 Primecare Of Novi PLLC was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.