Organization Active NPI

Curry Family Medicine, PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1780239632
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CURRY FAMILY MEDICINE, PLLC
Practice address
5258 Plainfield Ave NE Ste F
Grand Rapids, MI 49525-1092
Phone
(616) 729-0260
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Clark Lynn Bennett Jr.
Title
Office Manager
Phone
(612) 385-8041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5258 Plainfield Ave NE Ste F
Grand Rapids, MI 49525-1092

Mailing address

2511 Rockhill Dr NE
Grand Rapids, MI 49525-1240
Phone (612) 385-8041

Other identifiers 1

IdentifierTypeStateIssuer
1649438748MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923000427 MI Part B Supplier - Clinic/Group Practice 7911237755 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Rapids, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2170785Curry Family Medicine5258 Plainfield Ave NE Suite F, Grand Rapids, MI 49525Provider-performed microscopySep 11, 2026

National Provider Directory

National Provider Directory

Locations

5258 Plainfield Ave NE
Ste 6
Grand Rapids, MI 49525
Phone (616) 729-0260

Practitioners & affiliated clinicians

Practitioners 3

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": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1780239632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 ROCKHILL DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251240",
            "telephone_number": "612-385-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 PLAINFIELD AVE NE STE F",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251092",
            "telephone_number": "616-729-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRY FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-385-8041",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649438748",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.