DR. EMILY EVANS GRENN
NPI 1306336920
General Practice in Jackson, MS

Q: What is Emily Grenn's NPI number?

The NPI number for Emily Grenn is 1306336920. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Q: What is Emily Grenn's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Grenn was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 18, 2018PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5101(601) 984-5110 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2022, May 18, 2018 (2 updates tracked since 2018).

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About Dr. Emily Evans Grenn NPPES

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

DR. EMILY EVANS GRENN (NPI 1306336920) is an individual general practice provider in Jackson, Mississippi, licensed in Louisiana (329535) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rayville.

NPPES Registry Identity

NPI1306336920

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. EMILY EVANS GRENN

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5101 · Fax (601) 984-5110

Phone(601) 984-5101

Fax(601) 984-5110

Sole ProprietorNo

Enumeration DateMay 18, 2018

Last NPPES UpdateMay 20, 20222 updates tracked since enumeration

NPPES CertifiedMay 6, 2022

✔ NPI 1306336920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in LA · 329535

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

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Secondary Practice Location 1

Location 1254 LA-3048Rayville, LA 71269-7126 · Phone (318) 728-4181

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily Evans Grenn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)