Port Huron Physicians Medical Group PC
NPI 1598141640 · Family Medicine Physician · Fort Gratiot, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Huron Physicians Medical Group PC is a Family Medicine Physician organization in Fort Gratiot, MI (NPI 1598141640).
Provider details
- NPI number
- 1598141640
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Brown-Mccoy, Cbo Manager(810) 216-2902
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Obstetrics Physician207VX0000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Lake Huron Medical Group
- Doing business as
- Lake Huron Medical Group
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Frequently asked questions
- What is Port Huron Physicians Medical Group PC's NPI number?
- Port Huron Physicians Medical Group PC's National Provider Identifier (NPI) is 1598141640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Huron Physicians Medical Group PC?
- Port Huron Physicians Medical Group PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Port Huron Physicians Medical Group PC located?
- Port Huron Physicians Medical Group PC's practice location on file with NPPES is 4190 24th Ave, Fort Gratiot, MI 48059-3882.
- What is Port Huron Physicians Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Port Huron Physicians Medical Group PC is (810) 216-4000.
- Does Port Huron Physicians Medical Group PC accept Medicare?
- Port Huron Physicians Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port Huron Physicians Medical Group PC?
- The authorized official listed on Port Huron Physicians Medical Group PC's NPPES record is Julie Brown-Mccoy, Cbo Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Huron Physicians Medical Group PC's NPI active?
- Yes — Port Huron Physicians Medical Group PC's NPI (1598141640) is active in the NPPES registry as of the last update on 2021-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.