WHOLISTIC CENTER FOR RESTORATIVE HEALTH PLLC
NPI 1770207680
Clinic/Center - Primary Care in Southfield, MI

Active since October 04, 2022
20905 GREENFIELD RD STE 600, SOUTHFIELD, MI 48075(586) 879-1921 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wholistic Center For Restorative Health Pllc NPPES

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

WHOLISTIC CENTER FOR RESTORATIVE HEALTH PLLC (NPI 1770207680) is a healthcare organization registered as a primary care in Southfield, Michigan and active in the NPI registry since October 2022. The organization lists Camille Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1770207680
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWHOLISTIC CENTER FOR RESTORATIVE HEALTH PLLC
Location Address20905 GREENFIELD RD STE 600Southfield, MI 48075-5355
Mailing Address19785 W 12 Mile Rd # 591Southfield, MI 48076-2584 · (313) 858-8480
Organization SubpartNo
Authorized OfficialCamille JohnsonOwner · (313) 858-8480
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1770207680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
20905 GREENFIELD RD STE 600, Southfield, MI 48075

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)

Wholistic Center For Restorative Health 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 Wholistic Center For Restorative Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1558337147
20905 GREENFIELD RD STE 600
Southfield, MI 48075
(586) 646-2100
✔ 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 Wholistic Center For Restorative Health PLLC's NPI number?

The NPI number for Wholistic Center For Restorative Health PLLC is 1770207680. It was assigned to this organization in the NPPES registry on October 4, 2022.

Where is Wholistic Center For Restorative Health PLLC located?

Wholistic Center For Restorative Health PLLC is located at 20905 Greenfield Rd Ste 600, Southfield, MI 48075. The listed phone number is (586) 879-1921.

What is Wholistic Center For Restorative Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wholistic Center For Restorative Health PLLC enrolled in Medicare?

Yes. Wholistic Center For Restorative Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wholistic Center For Restorative Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wholistic Center For Restorative Health 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 Wholistic Center For Restorative Health PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wholistic Center For Restorative Health 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 Wholistic Center For Restorative Health PLLC was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.