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GRAND PRIMARY CARE PC
NPI 1780475475
Family Medicine in Grandville, MI

Active since May 13, 2025CLIA 23D2325871 · Waiver
3550 FAIRLANES AVE SW STE A, GRANDVILLE, MI 49418(616) 333-5913 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Primary Care Pc NPPES

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

GRAND PRIMARY CARE PC (NPI 1780475475) is a healthcare organization registered as a family medicine in Grandville, Michigan and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Courtney Rose-meyer Smith, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780475475
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND PRIMARY CARE PC
Location Address3550 FAIRLANES AVE SW STE AGrandville, MI 49418-1572
Mailing Address3550 Fairlanes Ave Sw Ste AGrandville, MI 49418-1572 · (616) 333-5913
Phone(616) 333-5913
Organization SubpartNo
Authorized OfficialCourtney Rose-meyer SmithOwner, Ceo · (616) 970-5282
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1780475475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3550 FAIRLANES AVE SW STE A, Grandville, MI 49418
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2325871

Grand Primary Care · Grandville, MI
Active · expires Jun 22, 2027
CLIA Number23D2325871
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorCourtney R. Smith
Laboratory Phone(616) 333-5913
Laboratory LocationGrand Primary Care3550 Fairlanes Avenue SW Suite A, Grandville, MI 49418
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grand Primary Care PC's NPI number?

The NPI number for Grand Primary Care PC is 1780475475. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Grand Primary Care PC located?

Grand Primary Care PC is located at 3550 Fairlanes Ave SW Ste A, Grandville, MI 49418. The listed phone number is (616) 333-5913.

What is Grand Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Grand Primary Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2325871) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Primary Care PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Primary Care PC 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 Grand Primary Care PC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.