Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerrica Atiyeh, PA-C

Individual provider Medical Physician Assistant · NPI 1467067975

Jerrica Atiyeh, PA-C is a Physician Assistant in Pontiac, Michigan. Graduated from University of Detroit Mercy School of Dentistry in 2020, 6 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Detroit Mercy School of Dentistry
Licensed in
MI
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

44200 Woodward Ave Ste 101
Pontiac, MI 48341-5046
Phone: (248) 212-0678
Fax: (248) 212-0790
Show map & directions

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

Additional practice locations (1)

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 — (947) 521-8804

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601010168 (MI)

Record details

NPI number1467067975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated 2020 (6 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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