GREAT LAKES MEDICAL ASSOCIATES, PC
NPI 1811094295
Internal Medicine in Edmore, MI
About Great Lakes Medical Associates, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES MEDICAL ASSOCIATES, PC (NPI 1811094295) is a healthcare organization registered as an internal medicine in Edmore, Michigan and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Mt Pleasant, and lists Prakash Sarvepalli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Great Lakes Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 23D2018137
Great Lakes Medical Associates · Edmore, MICertificate of Waiver 23D2292810
Great Lakes Medical Associates, P C · Mount Pleasant, MIFrequently 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 Great Lakes Medical Associates, PC's NPI number?
The NPI number for Great Lakes Medical Associates, PC is 1811094295. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is Great Lakes Medical Associates, PC located?
Great Lakes Medical Associates, PC is located at 1021 E. Main Street, Edmore, MI 48829. The listed phone number is (989) 427-5320.
What is Great Lakes Medical Associates, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Great Lakes Medical Associates, PC enrolled in Medicare?
Yes. Great Lakes Medical Associates, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Medical Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Lakes Medical Associates, PC. 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 Nurse Practitioner (9), Internal Medicine (2) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Great Lakes Medical Associates, PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Great Lakes Medical Associates, PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Medical Associates, 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 Great Lakes Medical Associates, PC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Great Lakes Medical Associates, Pc · NPI 1811094295
Internal Medicine organization in Edmore, Michigan. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1811094295 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Prakash Sarvepalli, PRESIDENT
## Practice location
- **Address:** 1021 E. MAIN STREET, Edmore, MI 48829
- **Phone:** (989) 427-5320 · **Fax:** (989) 427-8220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2023
- **Other identifiers:** Other 0E91083 (MI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811094295) · Data from the CMS NPPES public registry.