FAMILY MEDICAL CENTER OF MI-SOUTHGATE
NPI 1407392970
Clinic/Center - Federally Qualified Health Center (FQHC) in Southgate, MI
About Family Medical Center Of Mi-southgate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CENTER OF MI-SOUTHGATE (NPI 1407392970) is a healthcare organization registered as a federally qualified health center (fqhc) in Southgate, Michigan and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Ed Larkins, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Family Medical Center Of Mi-southgate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Family Medical Center Of Mi-Southgate, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 32Source: 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 23D2124862
Family Medical Center · Southgate, 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 Family Medical Center Of Michigan,inc's NPI number?
The NPI number for Family Medical Center Of Michigan,inc is 1407392970. It was assigned to this organization in the NPPES registry on January 9, 2017. The provider is doing business as Family Medical Center Of Mi-Southgate.
Where is Family Medical Center Of Michigan,inc located?
Family Medical Center Of Michigan,inc is located at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 654-2169.
What is Family Medical Center Of Michigan,inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Family Medical Center Of Michigan,inc enrolled in Medicare?
Yes. Family Medical Center Of Michigan,inc is registered in the Medicare PECOS enrollment system.
When is Family Medical Center Of Michigan,inc'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 November 30, 2026. 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 Family Medical Center Of Michigan,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 9 Medicare specialties reassign their Medicare billing to Family Medical Center Of Michigan,inc. 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. The largest specialties are Nurse Practitioner (9), Family Practice (6) and Clinical Social Worker (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Center Of Michigan,inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2124862) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Medical Center Of Michigan,inc was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Family Medical Center Of Mi-Southgate · NPI 1407392970
Federally Qualified Health Center (FQHC) organization in Southgate, Michigan. Organization record, active in the CMS NPPES registry since January 9, 2017.
## Identity
- **NPI:** 1407392970 (Entity type: Organization)
- **Enumerated:** January 9, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Family Medical Center Of Michigan,inc
- **Organization subpart:** No
- **Authorized official:** Ed Larkins, CEO
## Practice location
- **Address:** 13101 ALLEN RD, Southgate, MI 48195-2216
- **Phone:** (734) 654-2169 · **Fax:** (734) 654-2535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 32 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (6), Clinical Social Worker (5); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1407392970/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407392970) · Data from the CMS NPPES public registry.