GRENADA LAKE INPATIENT MEDICINE ASSOCIATES
NPI 1235284928
Internal Medicine in Grenada, MS

Active since January 24, 2007
960 J K AVENT DR, GRENADA, MS 38901(662) 227-7492(662) 227-7541 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grenada Lake Inpatient Medicine Associates NPPES

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

GRENADA LAKE INPATIENT MEDICINE ASSOCIATES (NPI 1235284928) is a healthcare organization registered as an internal medicine in Grenada, Mississippi and active in the NPI registry since January 2007. The organization lists Keith Heartsill, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235284928
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRENADA LAKE INPATIENT MEDICINE ASSOCIATES
Location Address960 J K AVENT DRGrenada, MS 38901-5230
Mailing AddressPo Box 52007Atlanta, GA 30355-0007 · (678) 397-0060 · Fax (678) 397-0065
Fax(662) 227-7541
Organization SubpartNo
Authorized OfficialKeith HeartsillCfo · (662) 227-7172
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 20, 2008
NPI 1235284928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

960 J K AVENT DR, Grenada, MS 38901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
960 J K AVENT DR
GRENADA, MS 38901
General Acute Care Hospital
960 J K AVENT DR
GRENADA, MS 38901
Ambulance
960 J K AVENT DR
GRENADA, MS 38901
General Acute Care Hospital
960 J K AVENT DR
GRENADA, MS 38901
Orthopaedic Surgery
960 J K AVENT DR
GRENADA, MS 38901

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 Lake Inpatient Medicine Associates's NPI number?

The NPI number for Grenada Lake Inpatient Medicine Associates is 1235284928. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Grenada Lake Inpatient Medicine Associates located?

Grenada Lake Inpatient Medicine Associates is located at 960 J K Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7492.

What is Grenada Lake Inpatient Medicine Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Inpatient Medicine Associates was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.