PANAGIA MEDICAL RECOVERY CLINIC PLLC
NPI 1801734249
Family Medicine - Addiction Medicine in Clinton Township, MI
About Panagia Medical Recovery Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANAGIA MEDICAL RECOVERY CLINIC PLLC (NPI 1801734249) is a healthcare organization registered as an addiction medicine in Clinton Township, Michigan and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Mira Grace, Member, 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)
Panagia Medical Recovery Clinic 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 Panagia Medical Recovery Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Clinton Township, MI 48038
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 of Waiver 23D2341303
Panagia Medical Recovery Clinic, PLLC · Clinton Township, 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 Panagia Medical Recovery Clinic PLLC's NPI number?
The NPI number for Panagia Medical Recovery Clinic PLLC is 1801734249. It was assigned to this organization in the NPPES registry on March 24, 2026.
Where is Panagia Medical Recovery Clinic PLLC located?
Panagia Medical Recovery Clinic PLLC is located at 43191 Dalcoma Dr Ste 101, Clinton Township, MI 48038. The listed phone number is (248) 810-4727.
What is Panagia Medical Recovery Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Panagia Medical Recovery Clinic PLLC enrolled in Medicare?
Yes. Panagia Medical Recovery Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Panagia Medical Recovery Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Panagia Medical Recovery Clinic 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.
Does Panagia Medical Recovery Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2341303) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Panagia Medical Recovery Clinic PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Panagia Medical Recovery Clinic 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 Panagia Medical Recovery Clinic PLLC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.
# Panagia Medical Recovery Clinic Pllc · NPI 1801734249
Addiction Medicine organization in Clinton Township, Michigan. Organization record, active in the CMS NPPES registry since March 24, 2026.
## Identity
- **NPI:** 1801734249 (Entity type: Organization)
- **Enumerated:** March 24, 2026
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Mira Grace, MEMBER
## Practice location
- **Address:** 43191 DALCOMA DR STE 101, Clinton Township, MI 48038-6308
- **Phone:** (248) 810-4727 · **Fax:** (248) 810-4727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Addiction Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801734249) · Data from the CMS NPPES public registry.