CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC
NPI 1386081529
Clinic/Center - Primary Care in Canton, MI
About Canton Family Medicine And Medical Spa, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC (NPI 1386081529) is a healthcare organization registered as a primary care in Canton, Michigan and active in the NPI registry since May 2013. The organization lists Miguel Granados, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canton Family Medicine And Medical Spa, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Canton Family Medicine And Medical Spa, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Canton Family Medicine And Medical Spa, PLLC's NPI number?
The NPI number for Canton Family Medicine And Medical Spa, PLLC is 1386081529. It was assigned to this organization in the NPPES registry on May 29, 2013.
Where is Canton Family Medicine And Medical Spa, PLLC located?
Canton Family Medicine And Medical Spa, PLLC is located at 5958 N Canton Center Rd Suite 200, Canton, MI 48187. The listed phone number is (734) 667-1648.
What is Canton Family Medicine And Medical Spa, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Canton Family Medicine And Medical Spa, PLLC enrolled in Medicare?
Yes. Canton Family Medicine And Medical Spa, PLLC is registered in the Medicare PECOS enrollment system.
When is Canton Family Medicine And Medical Spa, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Canton Family Medicine And Medical Spa, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Canton Family Medicine And Medical Spa, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Canton Family Medicine And Medical Spa, PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Canton Family Medicine And Medical Spa, 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 Canton Family Medicine And Medical Spa, PLLC was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Canton Family Medicine And Medical Spa, Pllc · NPI 1386081529
Primary Care organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since May 29, 2013.
## Identity
- **NPI:** 1386081529 (Entity type: Organization)
- **Enumerated:** May 29, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Miguel Granados, PHYSICIAN OWNER
## Practice location
- **Address:** 5958 N CANTON CENTER RD, SUITE 200, Canton, MI 48187-2765
- **Phone:** (734) 667-1648 · **Fax:** (734) 667-1649
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2017
- **Other identifiers:** Medicare UPIN G51798 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386081529) · Data from the CMS NPPES public registry.