Organization Active NPI

Grove Health Direct Primary Care LLC

  • Clinic/Center
  • Fenton, MI
National Provider Identifier
1538081690
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GROVE HEALTH DIRECT PRIMARY CARE LLC
Practice address
202 W Shiawassee Ave Ste 104
Fenton, MI 48430-2093
Phone
(248) 266-0473
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Adam McCormick
Title
Operations & Communications
Phone
(248) 266-0473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

202 W Shiawassee Ave Ste 104
Fenton, MI 48430-2093

Mailing address

202 W Shiawassee Ave Ste 104
Fenton, MI 48430-2093
Phone (248) 266-0473

National Provider Directory

National Provider Directory

Locations

202 W Shiawassee Ave
Ste 104
Fenton, MI 48430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1538081690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W SHIAWASSEE AVE STE 104",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302093",
            "telephone_number": "248-266-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SHIAWASSEE AVE STE 104",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302093",
            "telephone_number": "248-266-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE HEALTH DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OPERATIONS & COMMUNICATIONS",
        "authorized_official_telephone_number": "248-266-0473"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.