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PREMIER INTERNISTS
NPI 1679586192
Internal Medicine in Southfield, MI

Active since August 14, 2006CLIA 23D0686434 · Waiver
29201 TELEGRAPH RD, SUITE 404, SOUTHFIELD, MI 48034(248) 355-0880(248) 355-9232 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Internists NPPES

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

PREMIER INTERNISTS (NPI 1679586192) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Geoffrey A Trivax, President, as its authorized official.

NPPES Registry Identity

NPI1679586192
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMMG 1PC
Location Address29201 TELEGRAPH RD, SUITE 404Southfield, MI 48034-1331
Mailing Address29992 Northwestern Hwy Ste CFarmington Hills, MI 48334-3292 · (248) 851-1430 · Fax (248) 851-5182
Phone(248) 355-0880
Fax(248) 355-9232
Organization SubpartNo
Authorized OfficialGeoffrey A TrivaxPresident · (248) 354-9666
Enumeration DateAugust 14, 2006
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1679586192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
29201 TELEGRAPH RD, Southfield, MI 48034
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Other Names 1

Doing Business AsPremier Internists

Other Identifiers 1

Other700F314390MI · Blue Shield Group

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 23D0686434

Michigan Healthcare Professionals PC Dba Premier Internists · Farmington Hills, MI
Active · expires Mar 16, 2028
CLIA Number23D0686434
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorMichael G. Kizy
Laboratory Phone(248) 355-0880
Laboratory LocationMichigan Healthcare Professionals PC Dba Premier Internists32255 Northwestern Highway Suite 180, Farmington Hills, MI 48334
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MICHAEL D OBER MD
Ophthalmology
29201 TELEGRAPH RD, SUITE #606
SOUTHFIELD, MI 48034
Oakland County (248) 356-8610
THOMAS A MLADSI MD
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034
Oakland County (248) 206-7511
MRS. CAROLINE B TRAPP N.P.
Nurse Practitioner
29201 TELEGRAPH RD, SUITE 404
SOUTHFIELD, MI 48034
Oakland County (248) 355-0880
HAROLD WEISS MD
Ophthalmology
29201 TELEGRAPH RD, SUITE 606
SOUTHFIELD, MI 48034
Oakland County (248) 356-8610
GLOBAL URGENT CARE
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD
SOUTHFIELD, MI 48034
Oakland County (248) 393-2233
EAR NOSE AND THROAT CONSULTANTS PC
Specialist
29201 TELEGRAPH RD, SUITE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
PATRICIA F BEACH LMSW, ACSW, BCD
Social Worker (Clinical)
29201 TELEGRAPH RD, SUITE 550
SOUTHFIELD, MI 48034
Oakland County (248) 213-0501
PREFERRED UROLOGY CONSULTANTS, P.C
Urology
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034
Oakland County (248) 353-3060

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 Mmg 1pc's NPI number?

The NPI number for Mmg 1pc is 1679586192. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Premier Internists.

Where is Mmg 1pc located?

Mmg 1pc is located at 29201 Telegraph Rd Suite 404, Southfield, MI 48034. The listed phone number is (248) 355-0880.

What is Mmg 1pc's specialty?

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

Does Mmg 1pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0686434) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mmg 1pc was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.