SOUTH LYON FAMILY DOCS PC
NPI 1619266442
Family Medicine in South Lyon, MI
About South Lyon Family Docs Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH LYON FAMILY DOCS PC (NPI 1619266442) is a healthcare organization registered as a family medicine in South Lyon, Michigan and active in the NPI registry since April 2011. The organization holds a CLIA Microscopy certificate valid through December 8, 2026 and lists Brandy Eberhardt, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
South Lyon Family Docs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Lyon Family Docs PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 23D1092999
South Lyon Family Doc's · South Lyon, 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 South Lyon Family Docs PC's NPI number?
The NPI number for South Lyon Family Docs PC is 1619266442. It was assigned to this organization in the NPPES registry on April 1, 2011.
Where is South Lyon Family Docs PC located?
South Lyon Family Docs PC is located at 26006 Pontiac Trl, South Lyon, MI 48178. The listed phone number is (248) 437-5613.
What is South Lyon Family Docs PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Lyon Family Docs PC enrolled in Medicare?
Yes. South Lyon Family Docs PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Lyon Family Docs PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to South Lyon Family Docs PC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Lyon Family Docs PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1092999) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Lyon Family Docs PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list South Lyon Family Docs PC 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 South Lyon Family Docs PC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# South Lyon Family Docs Pc · NPI 1619266442
Family Medicine organization in South Lyon, Michigan. Organization record, active in the CMS NPPES registry since April 1, 2011.
## Identity
- **NPI:** 1619266442 (Entity type: Organization)
- **Enumerated:** April 1, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brandy Eberhardt, PHYSICIAN
## Practice location
- **Address:** 26006 PONTIAC TRL, South Lyon, MI 48178-8050
- **Phone:** (248) 437-5613 · **Fax:** (248) 437-5694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619266442) · Data from the CMS NPPES public registry.