STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1760285936
Internal Medicine in Canton, MS

Active since March 31, 2025
163 RIVER OAKS DR, CANTON, MS 39046(601) 984-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1760285936) is a healthcare organization registered as an internal medicine in Canton, Mississippi and active in the NPI registry since March 2025. The organization lists Jeffrey Grimsley, Associate Cfo - Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1760285936
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address163 RIVER OAKS DRCanton, MS 39046-5313
Mailing AddressPo Box 11407Birmingham, AL 35246-2130 · (601) 984-1000 · Fax (601) 815-0434
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyAssociate Cfo - Clinical Operations · (601) 815-6270
Enumeration DateMarch 31, 2025
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1760285936 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.
163 RIVER OAKS DR, Canton, MS 39046

Other Names 1

Other NameUmmc Madison Physicians Group

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)

State Of Mississippi - University Of Mississippi Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,924

Medicare enrollment records show 1,924 clinicians reassign Medicare billing to State Of Mississippi - University Of Mississippi Medical Center, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner427
Pediatric Medicine204
Certified Registered Nurse Anesthetist (CRNA)155
Internal Medicine126
Anesthesiology110
Emergency Medicine108
Diagnostic Radiology95
Obstetrics/Gynecology69
59 other specialties630

Nearest to this location (20)

See all 1,924
Nurse Practitioner
NPI 1760226799
102 KINGS XING
Canton, MS 39046
(662) 310-6195
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1942505706
540 COWAN ST
Canton, MS 39046
(516) 210-5600
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1851879126
122 E ACADEMY ST
Canton, MS 39046
(601) 859-8992
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1215537659
101 LEXINGTON DR
Madison, MS 39110
(601) 707-3771
✔ PECOS3.9 mi
Nurse Practitioner
NPI 1013498435
129 FOUNTAINS BLVD STE 201
Madison, MS 39110
(769) 300-0730
✔ PECOS✔ Accepts Medicare3.9 mi
Ophthalmology
NPI 1447578752
1026 BAPTIST CIR STE 100
Madison, MS 39110
(601) 353-2020
✔ PECOS✔ Accepts Medicare3.9 mi
Orthopedic Surgery
NPI 1881045748
401 BAPTIST DR STE 301
Madison, MS 39110
(601) 973-1571
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1487162319
107 CANNON RUN
Canton, MS 39046
(601) 624-6272
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1073963187
1171 HART ST
Canton, MS 39046
(601) 859-9888
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1033419809
1082 GLUCKSTADT RD
Madison, MS 39110
(601) 707-5621
✔ PECOS✔ Accepts Medicare4.7 mi
Qualified Speech Language Pathologist
NPI 1205202462
105 LEXINGTON DR STE H
Madison, MS 39110
(601) 910-7300
4.9 mi
Nurse Practitioner
NPI 1952874851
163 RIVER OAKS DR STE 201
Canton, MS 39046
(601) 855-4717
✔ PECOS✔ Accepts Medicare5.1 mi
Qualified Speech Language Pathologist
NPI 1962123695
115 AULENBROCK DR
Canton, MS 39046
(601) 521-4934
5.2 mi
Internal Medicine
NPI 1720246887
161 RIVER OAKS DR
Canton, MS 39046
(601) 376-2832
✔ PECOS✔ Accepts Medicare5.2 mi
Internal Medicine
NPI 1497765705
163 RIVER OAKS DR STE 201
Canton, MS 39046
(601) 855-4717
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1346621075
105 VARESE PL
Madison, MS 39110
(601) 622-8182
✔ PECOS✔ Accepts Medicare7.1 mi
Pediatric Medicine
NPI 1194475962
7730 OLD CANTON RD BLDG AB
Madison, MS 39110
(601) 815-2005
✔ PECOS8.4 mi
Pediatric Medicine
NPI 1922703651
7730 OLD CANTON RD
Madison, MS 39110
(888) 815-2005
✔ PECOS8.4 mi
Allergy/Immunology
NPI 1689803918
7730 OLD CANTON RD BLDG B
Madison, MS 39110
(601) 499-0935
✔ PECOS8.5 mi
Oral Surgery
NPI 1972655736
7728 OLD CANTON RD SUITE B
Madison, MS 39110
(601) 856-4420
✔ PECOS8.5 mi
See all 1,924 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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1760285936. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is also known as UMMC Madison Physicians Group.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 163 River Oaks Dr, Canton, MS 39046. The listed phone number is (601) 984-1000.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

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

Is State Of Mississippi - University Of Mississippi Medical Center enrolled in Medicare?

Yes. State Of Mississippi - University Of Mississippi Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Mississippi - University Of Mississippi Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,924 clinicians in 67 Medicare specialties reassign their Medicare billing to State Of Mississippi - University Of Mississippi Medical Center. 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 Nurse Practitioner (427), Pediatric Medicine (204) and Certified Registered Nurse Anesthetist (CRNA) (155). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does State Of Mississippi - University Of Mississippi Medical Center accept?

Health plans from Molina Healthcare list State Of Mississippi - University Of Mississippi Medical Center 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 State Of Mississippi - University Of Mississippi Medical Center was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.