Great Lakes Clinical Group, P.C
NPI 1194673889 · Internal Medicine Physician · Waterford, MI
Great Lakes Clinical Group, P.C is a Internal Medicine Physician organization in Waterford, MI (NPI 1194673889).
Provider details
- NPI number
- 1194673889
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Snipes, Owner(213) 827-3038
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-18
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Great Lakes Clinical Group, P.C's NPI number?
- Great Lakes Clinical Group, P.C's National Provider Identifier (NPI) is 1194673889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Clinical Group, P.C?
- Great Lakes Clinical Group, P.C is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Clinical Group, P.C located?
- Great Lakes Clinical Group, P.C's practice location on file with NPPES is 2709 Pontiac Lake Rd Fl 1, Waterford, MI 48328-2653.
- What is Great Lakes Clinical Group, P.C's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Clinical Group, P.C is (313) 758-6857.
- Who is the authorized official for Great Lakes Clinical Group, P.C?
- The authorized official listed on Great Lakes Clinical Group, P.C's NPPES record is Jonathan Snipes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Clinical Group, P.C's NPI active?
- Yes — Great Lakes Clinical Group, P.C's NPI (1194673889) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.