LITTLE TRAVERSE PRIMARY CARE
NPI 1477509453
Family Medicine in Harbor Springs, MI

Q: What is Physician Support Services PLLC's NPI number?

The NPI number for Physician Support Services PLLC is 1477509453. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Little Traverse Primary Care.

Q: What is Physician Support Services PLLC's specialty?

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

Active since May 25, 2006CLIA 23D0914660 · Waiver

8881 M 119, HARBOR SPRINGS, MI 49740(231) 347-5400(231) 348-2515 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Feb 5, 2019, Aug 16, 2018 (3 updates tracked since 2018).

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About Little Traverse Primary Care NPPES

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

LITTLE TRAVERSE PRIMARY CARE (NPI 1477509453) is a healthcare organization registered as a family medicine in Harbor Springs, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Tricia Lee Menard, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477509453

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHYSICIAN SUPPORT SERVICES PLLC

Location Address8881 M 119Harbor Springs, MI 49740

Mailing Address8881 M 119Harbor Springs, MI 49740-9479 · (231) 347-5400 · Fax (231) 348-2515

Phone(231) 347-5400

Fax(231) 348-2515

Organization SubpartNo

Authorized OfficialTricia Lee MenardBilling Office Manager · (231) 348-3808

Enumeration DateMay 25, 2006

Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1477509453 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.

8881 M 119, Harbor Springs, MI 49740

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Other Names 1

Doing Business AsLittle Traverse Primary Care

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

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 23D0914660

Little Traverse Primary Care P C · Harbor Springs, MI

Active · expires Nov 13, 2026

CLIA Number23D0914660

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2024

Certificate Expiration DateNovember 13, 2026

Laboratory DirectorVincent E. Schultz

Laboratory Phone(231) 347-5400

Laboratory LocationLittle Traverse Primary Care P C8881 M-119, Harbor Springs, MI 49740

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 12

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

DR. WENDY H. WALKER M.D.

Family Medicine