OrganizationActive
Michele Pennington MD Family Medical PLLC
NPI 1366484693 · Family Medicine Physician · Southfield, MI
Provider details
- NPI number
- 1366484693
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Pennington, Owner/Physician(248) 304-9400
- License
- 4301070192 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
25775 W 10 Mile Rd
Suite B
Southfield, MI 48034-4856
Phone: (248) 304-9400
Fax: (248) 304-9401
Street-level locationGet directions
Mailing address
#6620 6620 Reliable Parkway
Chicago, IL 60686-0001
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.