Great Lakes Clinical Group, P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREAT LAKES CLINICAL GROUP, P.C

Practice address

2709 Pontiac Lake Rd FL 1
Waterford, MI 48328-2653

Phone

(313) 758-6857

NPI assigned

Mar 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Snipes

Title

Owner

Phone

(213) 827-3038

Specialties & licenses 5

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1194673889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 PONTIAC LAKE RD FL 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282653",
            "telephone_number": "313-758-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PONTIAC LAKE RD FL 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282653",
            "telephone_number": "313-758-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CLINICAL GROUP, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-827-3038"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Anne Grant, MA, LPC
• Shelbi Grant, CPT
• David Lashawn Graves
• Kateri Gray, LLMSW
• Samuel Adam Gray, DC
• Great Lakes Neuromonitoring, PLLC
• Great Lakes Podiatry Associates PLLC
• Greater Oakland Visiting Nurse Association, Inc.
• Susan Marie Grech, RN
• Briana Greenlee, RDN

• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.