Individual provider Active NPI

Gregory Scott Balloid, NP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1902374267
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289789 Issued in MI
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

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018002040 MI Practitioner - Nurse Practitioner 5092046235 Reassigns benefits to 6 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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

LicenseStateTypeSpecialty
4704289789NSA180SSMIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Pain Relief PLLC CurrentSince Aug 1, 2025 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Oct 10, 2023 Accepting new patients
Supportive Care I of Michigan PC Nurse Practitioner CurrentSince Dec 15, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Michigan Family Medicine and Urgent Care PastSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.