LAKELAND MEDICAL PRACTICES
NPI 1568232247
Internal Medicine in Bridgman, MI

Active since January 04, 2024
9623 RED ARROW HWY, BRIDGMAN, MI 49106(269) 465-6050 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lakeland Medical Practices NPPES

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

LAKELAND MEDICAL PRACTICES (NPI 1568232247), doing business as Corewell Health Medical Group South, is a healthcare organization registered as an internal medicine in Bridgman, Michigan and active in the NPI registry since January 2024. The organization lists Matthew E Cox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1568232247
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address9623 RED ARROW HWYBridgman, MI 49106
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Organization SubpartNo
Authorized OfficialMatthew E CoxCfo · (616) 486-6790
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1568232247 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.
9623 RED ARROW HWY, Bridgman, MI 49106

Other Names 1

Doing Business AsCorewell Health Medical Group South

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeland Medical Practices is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20090928000216Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

724

Medicare enrollment records show 724 clinicians reassign Medicare billing to Lakeland Medical Practices, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 119 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Neurology184
Nurse Practitioner116
Internal Medicine83
Pediatric Medicine51
Family Practice50
Obstetrics/Gynecology24
Cardiovascular Disease (Cardiology)22
General Surgery18
36 other specialties176

Nearest to this location (20)

See all 724
Nurse Practitioner
NPI 1992502942
9623 RED ARROW HWY
Bridgman, MI 49106
(692) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1285679365
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275562696
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265468862
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962916023
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033509286
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOSSame address
Nurse Practitioner
NPI 1205322534
9625 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952388225
9623 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427716554
9623 RED ARROW HWY
Bridgman, MI 49106
(269) 465-6050
✔ PECOSSame address
Mental Health Counselor
NPI 1467960922
5675 FAIRVIEW ST
Stevensville, MI 49127
(269) 429-7727
✔ PECOS✔ Accepts Medicare5.4 mi
Psychologist Billing Independently
NPI 1144499864
5675 FAIRVIEW ST
Stevensville, MI 49127
(269) 429-7727
5.4 mi
Clinical Social Worker
NPI 1033950928
5675 FAIRVIEW ST
Stevensville, MI 49127
(269) 429-7727
✔ PECOS✔ Accepts Medicare5.4 mi
Llp, Lpc, Lpc
NPI 1740387935
5675 FAIRVIEW ST
Stevensville, MI 49127
(269) 429-7727
✔ PECOS✔ Accepts Medicare5.4 mi
Marriage and Family Therapist
NPI 1699336693
5675 FAIRVIEW ST
Stevensville, MI 49127
(269) 429-7727
✔ PECOS✔ Accepts Medicare5.4 mi
Pediatric Medicine
NPI 1437188877
5515 CLEVELAND AVE SUITE 1
Stevensville, MI 49127
(269) 429-6604
✔ PECOS6.2 mi
Nurse Practitioner
NPI 1558801068
5515 CLEVELAND AVE
Stevensville, MI 49127
(269) 429-1499
✔ PECOS✔ Accepts Medicare6.2 mi
Internal Medicine
NPI 1720349210
5515 CLEVELAND AVE SUITE 5
Stevensville, MI 49127
(269) 429-9644
✔ PECOS✔ Accepts Medicare6.2 mi
Family Practice
NPI 1598084691
5515 CLEVELAND AVE
Stevensville, MI 49127
(269) 429-9644
✔ PECOS✔ Accepts Medicare6.2 mi
Rheumatology
NPI 1124589254
3950 HOLLYWOOD RD STE 288
Saint Joseph, MI 49085
(269) 408-0990
✔ PECOS✔ Accepts Medicare8.9 mi
Certified Nurse Midwife (CNM)
NPI 1538812359
3950 HOLLYWOOD RD STE 100
Saint Joseph, MI 49085
(269) 429-8010
✔ PECOS✔ Accepts Medicare8.9 mi
See all 724 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1568232247. It was assigned to this organization in the NPPES registry on January 4, 2024. The provider is doing business as Corewell Health Medical Group South.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 9623 Red Arrow Hwy, Bridgman, MI 49106. The listed phone number is (269) 465-6050.

What is Lakeland Medical Practices's specialty?

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

Is Lakeland Medical Practices enrolled in Medicare?

Yes. Lakeland Medical Practices is registered in the Medicare PECOS enrollment system.

When is Lakeland Medical Practices's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lakeland Medical Practices?

According to the CMS Revalidation Reassignment List (October 2026 release), 724 clinicians in 44 Medicare specialties reassign their Medicare billing to Lakeland Medical Practices. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (184), Nurse Practitioner (116) and Internal Medicine (83). Of these, 7 practice at this address and 119 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.