SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC
NPI 1568931897
Clinic/Center in Southfield, MI

Active since November 15, 2018
17070 W 12 MILE RD STE A, SOUTHFIELD, MI 48076(248) 559-2280(248) 559-3752 Get Directions Write a Review

NPPES record last updated: July 5, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 5, 2020, Nov 15, 2018 (2 updates tracked since 2018).

About Southfield Premier Urgent Care And Walk-in Clinic Pllc NPPES

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

SOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC (NPI 1568931897) is a healthcare organization registered as a clinic/center in Southfield, Michigan and active in the NPI registry since November 2018. The organization lists Rafid Y Mansour, Physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1568931897
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHFIELD PREMIER URGENT CARE AND WALK-IN CLINIC PLLC
Location Address17070 W 12 MILE RD STE ASouthfield, MI 48076-2116
Mailing Address17070 W 12 Mile Rd Ste ASouthfield, MI 48076-2116 · (248) 559-2280 · Fax (248) 559-3752
Fax(248) 559-3752
Organization SubpartNo
Authorized OfficialRafid Y MansourPhysician/medical Director · (248) 559-2280
Enumeration DateNovember 15, 2018
Last NPPES UpdateJuly 5, 20202 updates tracked since enumeration
NPPES CertifiedJuly 5, 2020
✔ NPI 1568931897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
17070 W 12 MILE RD STE A, Southfield, MI 48076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southfield Premier Urgent Care And Walk-in Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southfield Premier Urgent Care And Walk-In Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1265662308
17070 W 12 MILE RD STE A
Southfield, MI 48076
(248) 559-2280
✔ PECOS✔ Accepts MedicareSame address

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 Southfield Premier Urgent Care And Walk-In Clinic PLLC's NPI number?

The NPI number for Southfield Premier Urgent Care And Walk-In Clinic PLLC is 1568931897. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Southfield Premier Urgent Care And Walk-In Clinic PLLC located?

Southfield Premier Urgent Care And Walk-In Clinic PLLC is located at 17070 W 12 Mile Rd Ste A, Southfield, MI 48076. The listed phone number is (248) 559-2280.

What is Southfield Premier Urgent Care And Walk-In Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Southfield Premier Urgent Care And Walk-In Clinic PLLC enrolled in Medicare?

Yes. Southfield Premier Urgent Care And Walk-In Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southfield Premier Urgent Care And Walk-In Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southfield Premier Urgent Care And Walk-In Clinic 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 Southfield Premier Urgent Care And Walk-In Clinic PLLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Southfield Premier Urgent Care And Walk-In Clinic 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 Southfield Premier Urgent Care And Walk-In Clinic PLLC was last updated on July 5, 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.