GRENADA EMERGENCY GROUP, LLC
NPI 1194388082
Emergency Medicine in Grenada, MS

Active since April 17, 2019
960 AVENT DR, GRENADA, MS 38901(662) 227-7000 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Nov 9, 2023, Apr 17, 2019 (3 updates tracked since 2019).

About Grenada Emergency Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRENADA EMERGENCY GROUP, LLC (NPI 1194388082) is a healthcare organization registered as an emergency medicine in Grenada, Mississippi and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Lexington and lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1194388082
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGRENADA EMERGENCY GROUP, LLC
Location Address960 AVENT DRGrenada, MS 38901-5230
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateApril 17, 2019
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1194388082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
960 AVENT DR, Grenada, MS 38901

Secondary Practice Location 1

Location 1239 Bowling Green RdLexington, MS 39095-5167 · Phone (662) 834-1321

Other Identifiers 1

Medicaid07238386MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grenada Emergency Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Grenada Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine40
Nurse Practitioner23
Internal Medicine13
Family Practice6
Osteopathic Manipulative Medicine1

Nearest to this location (20)

See all 83
Nurse Practitioner
NPI 1760217566
960 AVENT DR
Grenada, MS 38901
(662) 227-7122
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649550708
1300 SUNSET DR STE A
Grenada, MS 38901
(662) 226-1646
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1558382358
965 AVENT DR SUITE 107
Grenada, MS 38901
(662) 227-7575
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1619292307
960 AVENT DR
Grenada, MS 38901
(662) 227-7000
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1043246259
960 AVENT DR
Grenada, MS 38901
(662) 227-7172
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1134596919
401 S CHURCH ST
Charleston, MS 38921
(662) 647-5816
✔ PECOS20 mi
Emergency Medicine
NPI 1386728152
1401 RIVER RD
Greenwood, MS 38930
(662) 459-2613
✔ PECOS✔ Accepts Medicare28 mi
Emergency Medicine
NPI 1104900968
1401 RIVER RD
Greenwood, MS 38930
(662) 459-2613
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1902055197
303 MEDICAL CENTER DR
Batesville, MS 38606
(662) 712-2248
✔ PECOS36 mi
Emergency Medicine
NPI 1326277427
1100 BELK BLVD
Oxford, MS 38655
(662) 636-1000
✔ PECOS43 mi
Nurse Practitioner
NPI 1245788504
2301 S. LAMAR BLVD SUITE 130
Oxford, MS 38655
(662) 513-1300
✔ PECOS✔ Accepts Medicare43 mi
Emergency Medicine
NPI 1265995203
1100 BELK BLVD
Oxford, MS 38655
(662) 636-1000
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1184101149
1100 BELK BLVD
Oxford, MS 38655
(662) 636-1000
✔ PECOS✔ Accepts Medicare43 mi
Emergency Medicine
NPI 1699745133
1300 ACCESS RD SUITE 300
Oxford, MS 38655
(662) 232-8005
✔ PECOS✔ Accepts Medicare43 mi
Emergency Medicine
NPI 1295974988
1723 UNIVERSITY AVE STE B
Oxford, MS 38655
(662) 290-9091
✔ PECOS44 mi
Emergency Medicine
NPI 1902938624
239 BOWLING GREEN RD
Lexington, MS 39095
(662) 834-1321
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1699290460
1374 COOKE ROAD
Pontotoc, MS 38863
(662) 456-6921
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1801780283
1002 E MADISON ST
Houston, MS 38851
(662) 456-3700
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1689751281
1207 HIGHWAY 182 W
Starkville, MS 39759
(662) 320-7800
✔ PECOS✔ Accepts Medicare59 mi
Family Practice
NPI 1164470720
100 HOSPITAL ST
Booneville, MS 38829
(800) 291-4020
✔ PECOS✔ Accepts Medicare95 mi
See all 83 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grenada Emergency Group, LLC's NPI number?

The NPI number for Grenada Emergency Group, LLC is 1194388082. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Grenada Emergency Group, LLC located?

Grenada Emergency Group, LLC is located at 960 Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is Grenada Emergency Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grenada Emergency Group, LLC enrolled in Medicare?

Yes. Grenada Emergency Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grenada Emergency Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 5 Medicare specialties reassign their Medicare billing to Grenada Emergency Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (40), Nurse Practitioner (23) and Internal Medicine (13). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grenada Emergency Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Grenada Emergency Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grenada Emergency Group, LLC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.