South Lyon Family Docs PC
NPI 1619266442 · Family Medicine Physician · South Lyon, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Lyon Family Docs PC is a Family Medicine Physician organization in South Lyon, MI (NPI 1619266442).
Provider details
- NPI number
- 1619266442
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandy Eberhardt, Physician(248) 437-5613
- License
- 5101016493 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2011-04-01
- Last updated
- 2016-06-01
Frequently asked questions
- What is South Lyon Family Docs PC's NPI number?
- South Lyon Family Docs PC's National Provider Identifier (NPI) is 1619266442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lyon Family Docs PC?
- South Lyon Family Docs PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Lyon Family Docs PC located?
- South Lyon Family Docs PC's practice location on file with NPPES is 26006 Pontiac Trl, South Lyon, MI 48178-8050.
- What is South Lyon Family Docs PC's phone number?
- The practice phone number listed in the NPPES registry for South Lyon Family Docs PC is (248) 437-5613.
- Does South Lyon Family Docs PC accept Medicare?
- South Lyon Family Docs 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 South Lyon Family Docs PC?
- The authorized official listed on South Lyon Family Docs PC's NPPES record is Brandy Eberhardt, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lyon Family Docs PC's NPI active?
- Yes — South Lyon Family Docs PC's NPI (1619266442) is active in the NPPES registry as of the last update on 2016-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.