NPIMap

Individual provider Active NPI

David Jay Segroves, PA-C

  • Physician Assistant
  • Pigeon, MI
National Provider Identifier
1912913112
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003336 Issued in MI
Practice address
168 N Caseville Rd
Pigeon, MI 48755-9415
Phone
(989) 453-4495
Fax
(989) 453-4450
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003336 MI Primary

Addresses

Primary practice location

168 N Caseville Rd
Pigeon, MI 48755-9415

Mailing address

168 N Caseville Rd
Pigeon, MI 48755-9415
Phone (989) 453-4495

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsegroves37309@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000690 MI Practitioner - Physician Assistant 4880738848 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003336MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital CurrentSince Dec 16, 2025 Accepting new patients
Scheurer Hospital CurrentSince Jul 26, 2010 Accepting new patients
Scheurer Hospital CurrentSince Jul 26, 2010 Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

Interoperability endpoints

  • Direct secure messaging: dsegroves37309@direct.covenanthealthcare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer Hospital 49 clinicians

Practice addresses (Care Compare)

108 N Caseville Rd
Pigeon, MI 48755-9704

135 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3798

170 N Caseville Rd
Pigeion, MI 48755-9704

Hospital & facility affiliations

  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1912913112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-4495",
            "fax_number": "989-453-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-4495",
            "fax_number": "989-453-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGROVES",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsegroves37309@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "168 N Caseville Rd",
            "city": "Pigeon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487559415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pigeon, MI

Sources for this page

Verify at the official NPI Registry.