Envision Medical Group PLLC
NPI 1003125774 · Family Medicine Physician · South Lyon, MI
Envision Medical Group PLLC is a Family Medicine Physician organization in South Lyon, MI (NPI 1003125774).
Provider details
- NPI number
- 1003125774
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Wayne, Managing Member(248) 348-8700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Frequently asked questions
- What is Envision Medical Group PLLC's NPI number?
- Envision Medical Group PLLC's National Provider Identifier (NPI) is 1003125774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Envision Medical Group PLLC?
- Envision Medical Group PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Envision Medical Group PLLC located?
- Envision Medical Group PLLC's practice location on file with NPPES is 12660 Ten Mile Rd, South Lyon, MI 48178-9141.
- What is Envision Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Envision Medical Group PLLC is (248) 348-1131.
- Who is the authorized official for Envision Medical Group PLLC?
- The authorized official listed on Envision Medical Group PLLC's NPPES record is Michael Wayne, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Envision Medical Group PLLC's NPI active?
- Yes — Envision Medical Group PLLC's NPI (1003125774) is active in the NPPES registry as of the last update on 2021-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.