Great Lakes Brain Spine Surgery and Pain Center PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

GREAT LAKES BRAIN SPINE SURGERY AND PAIN CENTER PLLC

Practice address

3380 Beecher Road
Ste a
Flint, MI 48532-4853

Phone

(810) 720-2900

NPI assigned

Oct 30, 2015

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivekanand Palavali, MDNPI 1881672962

Title

Doctor

Phone

(810) 820-6311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Vivekanand Palavali, MD

  • Neurological Surgery Physician
  • Flint, MI
  • NPI 1881672962
  Medicare reassignment Authorized official
• Sreenivas Mannam, M.D.

  • Gastroenterology Physician
  • Flint, MI
  • NPI 1629001334
  NPD (past)
• Jill Marie Zaske, NP

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1396043493
  NPD (past)

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1780056630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 BEECHER ROAD",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324737",
            "telephone_number": "810-820-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 BEECHER ROAD",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324853",
            "telephone_number": "810-720-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BRAIN SPINE SURGERY AND PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "PALAVALI",
        "authorized_official_first_name": "VIVEKANAND",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-820-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jequitta Gray, REGISTERED NURSE
• Shawn Marie Gray, B.A.
• Sarah Ann Graybill, PA-C
• Kaisha Maran Grear
• Great Health Medical Mi PC
• Great Lakes Chiropractic & Movement PLLC
• Great Lakes Dental Services PLLC
• Great Lakes Interventional Pain Management,PLLC
• Great Lakes Oral Surgery and Implants, P.C. (Greater Michigan Oral Surgeons & Dental Implant Center)
• Great Lakes Orthotics and Prosthetics (Great lakes O and P)

• Neurological Surgery Physician in Flint, MI
• Providers in Flint, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.