Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy G. Connolly, PA-C

Individual provider Physician Assistant · NPI 1033106331

Amy G. Connolly, PA-C is a Physician Assistant in Southfield, Michigan. Qualified in 1996, 30 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

22255 Greenfield Rd Ste 590
Southfield, MI 48075-3734
Phone: (248) 849-4990
Fax: (248) 849-4991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 — (248) 849-4990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002695 (MI)

Record details

NPI number1033106331
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2005
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Southfield