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NPI 1225618754 · Family Medicine Physician · Ypsilanti, MI
Provider details
- NPI number
- 1225618754
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antonia Jerkins, Owner(248) 845-8664
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
124 Pearl St Ste 202
Ypsilanti, MI 48197-2663
Phone: (248) 845-8664
Fax: (734) 338-8030
Street-level locationGet directions
Mailing address
32455 W 12 Mile Rd Unit 2502
Farmington, MI 48333-7121
Additional practice locations (1)
- 30856 Groesbeck Hwy Ste BRoseville, MI 48066-1580Phone: (248) 845-8664
Registry dates
- Enumerated
- 2021-04-09
- Last updated
- 2021-04-09
- Certified
- 2021-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.