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COUNTRY CREEK FAMILY MEDICINE PLLC
NPI 1790537041
Family Medicine in Rochester, MI

Active since April 02, 2024CLIA 23D0371327 · Waiver
4986 N ADAMS RD STE A, ROCHESTER, MI 48306(248) 475-4301(248) 475-4305 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Country Creek Family Medicine Pllc NPPES

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

COUNTRY CREEK FAMILY MEDICINE PLLC (NPI 1790537041) is a healthcare organization registered as a family medicine in Rochester, Michigan and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Scott Bain, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1790537041
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTRY CREEK FAMILY MEDICINE PLLC
Location Address4986 N ADAMS RD STE ARochester, MI 48306-5017
Mailing Address4986 N Adams Rd Ste ARochester, MI 48306-5017 · (248) 475-4301 · Fax (248) 475-4305
Phone(248) 475-4301
Fax(248) 475-4305
Organization SubpartNo
Authorized OfficialScott BainAuthorized Official · (248) 475-4301
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1790537041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4986 N ADAMS RD STE A, Rochester, MI 48306
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, 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 23D0371327

Country Creek Family Medicine PLLC · Rochester, MI
Active · expires Jul 1, 2027
CLIA Number23D0371327
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorMichael D. Bain
Laboratory Phone(248) 475-4301
Laboratory LocationCountry Creek Family Medicine PLLC4986 N Adams Road Suite A, Rochester, MI 48306
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 3

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

MICHAEL BAIN DO
Family Medicine (Sports Medicine)
4986 N ADAMS RD STE A
ROCHESTER, MI 48306
Oakland County (248) 475-4301
JASPER GILL DO
Family Medicine (Sports Medicine)
4986 N ADAMS RD STE A
ROCHESTER, MI 48306
Oakland County (248) 475-4301
DANIEL SMARSCH MS, PA-C
Physician Assistant
4986 N ADAMS RD STE A
ROCHESTER, MI 48306
Oakland County (248) 475-4301

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 Country Creek Family Medicine PLLC's NPI number?

The NPI number for Country Creek Family Medicine PLLC is 1790537041. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Country Creek Family Medicine PLLC located?

Country Creek Family Medicine PLLC is located at 4986 N Adams Rd Ste A, Rochester, MI 48306. The listed phone number is (248) 475-4301.

What is Country Creek Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Country Creek Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0371327) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Creek Family Medicine PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Country Creek Family Medicine 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 Country Creek Family Medicine PLLC was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.