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GREAT LAKES MEDICAL ASSOCIATES, PC
NPI 1811094295
Internal Medicine in Edmore, MI

Active since September 20, 2006CLIA Certified · 2 labs
1021 E. MAIN STREET, EDMORE, MI 48829(989) 427-5320(989) 427-8220 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1811094295
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREAT LAKES MEDICAL ASSOCIATES, PC
Location Address1021 E. MAIN STREETEdmore, MI 48829
Mailing Address1021 E. Main StreetEdmore, MI 48829 · (989) 427-5320 · Fax (989) 427-8220
Phone(989) 427-5320
Fax(989) 427-8220
Organization SubpartNo
Authorized OfficialPrakash SarvepalliPresident · (989) 427-5320
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1811094295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1021 E. MAIN STREET, Edmore, MI 48829
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Secondary Practice Location 1

Location 11621 E Broomfield St Ste CMT Pleasant, MI 48858-5427 · Phone (989) 427-5320 · Fax (866) 419-3504

Other Identifiers 1

Other0E91083MI · Bcbsm

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

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 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, MI
Active · expires Dec 26, 2026
CLIA Number23D2018137
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorPrakash Sarvepalli
Laboratory Phone(989) 427-5320
Laboratory LocationGreat Lakes Medical Associates1021 E Main St Attn Lisa, Edmore, MI 48829
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2292810

Great Lakes Medical Associates, P C · Mount Pleasant, MI
Active · expires Oct 30, 2027
CLIA Number23D2292810
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorPrakash Saravepalli
Laboratory Phone(989) 427-5320
Laboratory LocationGreat Lakes Medical Associates, P C1621 E Broomfield Street Suite C, Mount Pleasant, MI 48858
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 2

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

SAILAJA SARVEPALLI M.D.
Family Medicine
1021 E. MAIN STREET
EDMORE, MI 48829
Montcalm County (989) 427-5320
PRAKASH SARVEPALLI M.D.
Internal Medicine
1021 E. MAIN STREET
EDMORE, MI 48829
Montcalm County (989) 427-5320

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 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.

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 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 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 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.