Healthcare Provider Details

I. General information

NPI: 1265459150
Provider Name (Legal Business Name): GREATER FLINT SPORTS MEDICINE CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 HEALTH PARK BLVD
GRAND BLANC MI
48439
US

IV. Provider business mailing address

861 HEALTH PARK BLVD
GRAND BLANC MI
48439-7383
US

V. Phone/Fax

Practice location:
  • Phone: 810-953-0500
  • Fax: 810-953-0031
Mailing address:
  • Phone: 810-953-0500
  • Fax: 810-953-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name: JAMES FRANCIS HEMING
Title or Position: PRESIDENT
Credential: DO
Phone: 810-953-0500