Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Primary Care Sports Medicine PC

Organization Family Medicine Physician · NPI 1972658136

Primary Care Sports Medicine PC provides Family Medicine Physician services in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

560 W Mitchell St Ste 340
Petoskey, MI 49770-2275 Not confirmed with CMS for 18 years — call before visiting
Phone: (231) 348-9710
Fax: (231) 348-9715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301074786 (MI)

Record details

NPI number1972658136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Sheperd — President · (231) 348-9710
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2008
Mailing address560 W Mitchell St, Suite 340, Petoskey, MI 49770-2275

Other providers in Petoskey