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SCHAFER FARMS MEDICAL GROUP, PLLC
NPI 1619034071
Internal Medicine in Southgate, MI

Active since January 03, 2007CLIA 23D0367048 · Waiver
3 HERITAGE CENTER, SUITE 1, SOUTHGATE, MI 48195(734) 283-3222(734) 283-4006 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Schafer Farms Medical Group, Pllc NPPES

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

SCHAFER FARMS MEDICAL GROUP, PLLC (NPI 1619034071) is a healthcare organization registered as an internal medicine in Southgate, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael Jamil Neshewat, President, as its authorized official.

NPPES Registry Identity

NPI1619034071
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHGATE MEDICAL GROUP, PLLC
Location Address3 HERITAGE CENTER, SUITE 1Southgate, MI 48195
Mailing Address3 Heritage Center, Suite 1Southgate, MI 48195 · (734) 283-3222 · Fax (734) 283-4006
Phone(734) 283-3222
Fax(734) 283-4006
Organization SubpartNo
Authorized OfficialMichael Jamil NeshewatPresident · (734) 283-3222
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMarch 30, 2009
✔ NPI 1619034071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
3 HERITAGE CENTER, Southgate, MI 48195
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Other Names 1

Doing Business AsSchafer Farms Medical Group, Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 23D0367048

Southgate Medical Group · Southgate, MI
Active · expires Aug 31, 2026
CLIA Number23D0367048
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Neshewat MD
Laboratory Phone(734) 283-3222
Laboratory LocationSouthgate Medical Group3 Heritage Center Suite 1, Southgate, MI 48195
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

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

MRS. KELCIE ANN WAACK FNP
Internal Medicine
3 HERITAGE CENTER
SOUTHGATE, MI 48195
Wayne County (734) 283-3222

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 Southgate Medical Group, PLLC's NPI number?

The NPI number for Southgate Medical Group, PLLC is 1619034071. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Schafer Farms Medical Group, PLLC.

Where is Southgate Medical Group, PLLC located?

Southgate Medical Group, PLLC is located at 3 Heritage Center Suite 1, Southgate, MI 48195. The listed phone number is (734) 283-3222.

What is Southgate Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Southgate Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0367048) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southgate Medical Group, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southgate Medical Group, 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 Southgate Medical Group, PLLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.