GREAT LAKES MEDICAL PRACTICE
NPI 1184409955
Internal Medicine in Grand Blanc, MI

Active since August 29, 2023CLIA 23D0372837 · Waiver
8273 S SAGINAW ST STE B, GRAND BLANC, MI 48439(810) 653-0899(810) 771-7472 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Medical Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES MEDICAL PRACTICE (NPI 1184409955) is a healthcare organization registered as an internal medicine in Grand Blanc, Michigan and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Salwa Sirelkhatim Mohamedahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1184409955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVISON MEDICAL PRACTICE PLC
Location Address8273 S SAGINAW ST STE BGrand Blanc, MI 48439-2465
Mailing Address8273 S Saginaw St Ste BGrand Blanc, MI 48439-2465 · (810) 653-0899 · Fax (810) 771-7472
Fax(810) 771-7472
Organization SubpartNo
Authorized OfficialSalwa Sirelkhatim MohamedahmedOwner · (810) 653-0899
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1184409955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8273 S SAGINAW ST STE B, Grand Blanc, MI 48439

Other Names 1

Doing Business AsGreat Lakes Medical Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0372837

Davison Medical Practice Plc · Davison, MI
Active · expires Aug 31, 2026
CLIA Number23D0372837
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSalwa S. Mohamedahmed
Laboratory Phone(810) 653-0899
Laboratory LocationDavison Medical Practice Plc1260 N Irish Rd Suite B, Davison, MI 48423
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
8273 S SAGINAW ST STE B
GRAND BLANC, MI 48439
Physician Assistant
8273 S SAGINAW ST STE B
GRAND BLANC, MI 48439
Internal Medicine
8273 S SAGINAW ST STE B
GRAND BLANC, MI 48439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davison Medical Practice Plc's NPI number?

The NPI number for Davison Medical Practice Plc is 1184409955. It was assigned to this organization in the NPPES registry on August 29, 2023. The provider is doing business as Great Lakes Medical Practice.

Where is Davison Medical Practice Plc located?

Davison Medical Practice Plc is located at 8273 S Saginaw St Ste B, Grand Blanc, MI 48439. The listed phone number is (810) 653-0899.

What is Davison Medical Practice Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Davison Medical Practice Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0372837) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davison Medical Practice Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Davison Medical Practice Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davison Medical Practice Plc was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.