Active NPI
Henry Ford Medical Group Genesys
- Family Medicine Physician
- Mount Morris, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HENRY FORD MEDICAL GROUP GENESYS
- Practice address
- 4485 E Mount Morris Rd
Mount Morris, MI 48458-8963 - Phone
- (810) 424-2101
- NPI assigned
- Sep 3, 2018
- Last updated
- Apr 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Cebalt
- Title
- Director
- Phone
- (313) 874-6764
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
4485 E Mount Morris Rd
Mount Morris, MI 48458-8963
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181002000367 | MI | Part B Supplier - Clinic/Group Practice | 7214288281 |
Receives reassigned benefits from 108 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Blanc, MI; Goodrich, MI; Linden, MI; Millington, MI; Mount Morris, MI; Flint, MI; Flushing, MI; Burton, MI… |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Ascension Genesys Ambulatory Therapy
- Physical Therapist
- Burton, MI
- NPI 1114495793
O20181002000367
-
dba Ascension Genesys Ambulatory Imaging
- Diagnostic Radiology Physician
- Burton, MI
- NPI 1205304888
O20181002000367
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
O20181002000367
-
- Family Medicine Physician
- Burton, MI
- NPI 1982170312
O20181002000367
National Provider Directory
National Provider DirectoryLocations
5900 Waldon Rd
Ste A
Clarkston, MI 48346
Phone (248) 625-7890
425 N Fenway Dr
Ste A
Fenton, MI 48430
Phone (810) 750-5444
1515 W Atherton Rd
Flint, MI 48507
Phone (810) 232-5189
1434 Flushing Rd
Flushing, MI 48433
Phone (810) 659-3196
8423 Holly Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 579-0466
8447 Holly Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 603-0856
9030 State Rd
Millington, MI 48746
Phone (517) 871-4501
4485 E Mount Morris Rd
Mount Morris, MI 48458
Phone (810) 640-1942
Practitioners & affiliated clinicians
Practitioners 71
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Burton, MI
- NPI 1790764553
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1225130198
-
- Family Medicine Physician
- Flint, MI
- NPI 1730281619
-
- Internal Medicine Physician
- Flint, MI
- NPI 1659473544
-
- Family Medicine Physician
- Davison, MI
- NPI 1346342235
-
- Family Nurse Practitioner
- Grand Blanc, MI
- NPI 1528558962
-
- Internal Medicine Physician
- Flint, MI
- NPI 1689776577
-
- Family Medicine Physician
- Fenton, MI
- NPI 1093383895
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1912009705
-
- Family Medicine Physician
- Ypsilanti, MI
- NPI 1992264261
-
- Pediatrics Physician
- Grand Blanc, MI
- NPI 1780621292
-
- Family Medicine Physician
- Flushing, MI
- NPI 1437178225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1003398470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670884",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 E MOUNT MORRIS RD",
"city": "MOUNT MORRIS",
"state": "MI",
"postal_code": "484588963",
"telephone_number": "810-424-2101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD MEDICAL GROUP GENESYS",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-03",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "CEBALT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "313-874-6764"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Morris, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.