NPIMap

Organization Active NPI

Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1265976971
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DEGARA APP, PLLC
Practice address
401 W Greenlawn Ave
Lansing, MI 48910
Phone
(517) 975-6000
Fax
(904) 559-4370
NPI assigned
Dec 14, 2016
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
James Grimes
Title
Cfo
Phone
(615) 551-6611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

401 W Greenlawn Ave
Lansing, MI 48910

Mailing address

PO Box 4458
Dept # 206
Houston, TX 77210-4458
Phone (855) 246-8607

Other practice location 1

1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-2881

Other practice location 2

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-4203

Other practice location 3

5701 Bow Pointe Dr
Clarkston, MI 48346-3198
Phone (248) 338-5210

Other practice location 4

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3993

Other practice location 5

1221 South Dr
MT Pleasant, MI 48858-3257
Phone (989) 772-6821

Other practice location 6

401 N Hooper St
Caro, MI 48723-1476
Phone (615) 928-6268

Other practice location 7

2110 S M 76
West Branch, MI 48661-8737
Phone (989) 516-5075

Other practice location 8

2420 Owen Rd Ste A
Fenton, MI 48430-3417
Phone (810) 496-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170223001941 MI Part B Supplier - Clinic/Group Practice 7618251398 Receives reassigned benefits from 348 practitioners
Practice locations: Lapeer, MI; West Branch, MI; Tawas City, MI; Standish, MI; Saginaw, MI; Pontiac, MI; Mt Pleasant, MI; Lansing, MI…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 353

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.

View all 353

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1265976971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4458",
            "address_2": "DEPT # 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104458",
            "telephone_number": "855-246-8607",
            "fax_number": "629-216-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-975-6000",
            "fax_number": "904-559-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484139615",
            "country_code": "US",
            "telephone_number": "989-269-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Ballenger Hwy",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323638",
            "country_code": "US",
            "telephone_number": "810-342-4203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 Bow Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483463198",
            "country_code": "US",
            "telephone_number": "248-338-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086831",
            "country_code": "US",
            "telephone_number": "989-894-3993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 South Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488583257",
            "country_code": "US",
            "telephone_number": "989-772-6821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Hooper St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231476",
            "country_code": "US",
            "telephone_number": "615-928-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 S M 76",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618737",
            "country_code": "US",
            "telephone_number": "989-516-5075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Owen Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484303417",
            "country_code": "US",
            "telephone_number": "810-496-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEGARA APP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-551-6611"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.