Individual provider Active NPI

Gregory A Myers, M.D.

  • Surgery Physician
  • Muskegon, MI
National Provider Identifier
1487617338
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
O68906 Issued in MI
Practice address
1316 Mercy Dr
Muskegon, MI 49444-1835
Phone
(231) 739-9461
Fax
(231) 733-8131
NPI assigned
Apr 11, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X O68906 MI Primary

Addresses

Primary practice location

1316 Mercy Dr
Muskegon, MI 49444-1835

Mailing address

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

Other identifiers 1

IdentifierTypeStateIssuer
3338803MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000186 MI Practitioner - General Surgery 0840252706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 739-9341

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
O68906MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskegon Surgical Associates Surgicenter, PLC Surgery CurrentSince Jan 13, 2025 Accepting new patients
Muskegon Surgical Associates PC Surgery CurrentSince Dec 1, 2004 Accepting new patients
Muskegon Surgical Associates Surgery Past Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGFJAD/Endpoint/CGFJAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1487617338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461",
            "fax_number": "231-739-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461",
            "fax_number": "231-733-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "O68906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.