Active NPI
Gregory Scott Balloid, NP
- Family Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704289789
- Practice address
- 35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528 - Phone
- (616) 267-2570
- NPI assigned
- Nov 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704289789NSA180SS | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704289789 | MI | Primary |
Addresses
Primary practice location
35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23600 Northline Rd
Taylor, MI 48180-4620
Phone (888) 408-7008
5055 Plainfield Ave NE
Suite C
Grand Rapids, MI 49525-1075
Phone (616) 489-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704289789NSA180SS | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Pain Relief PLLC | Current | Accepting new patients | |
| Michigan Sports and Spine Center PC | Current | Accepting new patients | |
| Supportive Care I of Michigan PC | Nurse Practitioner | Current | Accepting new patients |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients | |
| Michigan Family Medicine and Urgent Care | Past | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
4001 Walli Strasse Dr
Ste A
Burton, MI 48509
Phone (810) 715-7746
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
5055 Plainfield Ave NE
Ste C
Grand Rapids, MI 49525
Phone (616) 489-7246
2000 32nd St SE
Grand Rapids, MI 49508
Phone (616) 245-1600
3400 Wilson Ave SW
Grandville, MI 49418
Phone (616) 534-5487
330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840
517 S Erie St
Three Rivers, MI 49093
Phone (269) 273-8661
1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000
11525 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-0700
6950 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 478-5645
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
MI
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Physical Medicine & Rehabilitation Physician
- Livonia, MI
- NPI 1205887262
-
- Clinical Psychologist
- Iron River, MI
- NPI 1548995608
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Grand Rapids, MI
- NPI 1396628699
-
- Family Medicine Physician
- Dewitt, MI
- NPI 1497225403
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1902374267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MICHIGAN ST NE STE 3003",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032528",
"telephone_number": "616-267-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLOID",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704289789NSA180SS",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704289789",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.