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GREATER MICHIGAN DERMATOLOGY, PLLC
NPI 1700429685
Dermatology in Grand Blanc, MI

Active since October 23, 2019CLIA 23D2243049 · Waiver
849 HEALTH PARK BLVD, GRAND BLANC, MI 48439(810) 498-4354(810) 498-4355 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Sep 14, 2020, Oct 23, 2019 (3 updates tracked since 2019).

About Greater Michigan Dermatology, Pllc NPPES

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

GREATER MICHIGAN DERMATOLOGY, PLLC (NPI 1700429685) is a healthcare organization registered as a dermatology in Grand Blanc, Michigan and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Kelsey Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1700429685
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREATER MICHIGAN DERMATOLOGY, PLLC
Location Address849 HEALTH PARK BLVDGrand Blanc, MI 48439-7383
Mailing Address849 Health Park BlvdGrand Blanc, MI 48439-7383 · (415) 802-1310 · Fax (810) 498-4355
Phone(810) 498-4354
Fax(810) 498-4355
Organization SubpartNo
Authorized OfficialKelsey LawrenceOwner · (810) 498-4354
Enumeration DateOctober 23, 2019
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1700429685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
849 HEALTH PARK BLVD, Grand Blanc, MI 48439
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Other Identifiers 1

Other1225410756MI · Npi

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2243049

Greater Michigan Dermatology · Grand Blanc, MI
Active · expires Nov 15, 2027
CLIA Number23D2243049
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorKelsey L. Lawrence
Laboratory Phone(810) 498-4354
Laboratory LocationGreater Michigan Dermatology849 Health Park Blvd, Grand Blanc, MI 48439
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KELSEY LOUISE LAWRENCE M.D.
Dermatology
849 HEALTH PARK BLVD
GRAND BLANC, MI 48439
Genesee County (810) 498-4354

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 Greater Michigan Dermatology, PLLC's NPI number?

The NPI number for Greater Michigan Dermatology, PLLC is 1700429685. It was assigned to this organization in the NPPES registry on October 23, 2019.

Where is Greater Michigan Dermatology, PLLC located?

Greater Michigan Dermatology, PLLC is located at 849 Health Park Blvd, Grand Blanc, MI 48439. The listed phone number is (810) 498-4354.

What is Greater Michigan Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Greater Michigan Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2243049) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greater Michigan Dermatology, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Greater Michigan Dermatology, PLLC 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 Greater Michigan Dermatology, PLLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.