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STANFORD MEDICAL INC
NPI 1811201544
Family Medicine in Grenada, MS

Active since August 05, 2010CLIA 25D0966003 · Waiver
1117 SUNSET DR, SUITE 101, GRENADA, MS 38901(662) 227-1744(662) 226-1116 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanford Medical Inc NPPES

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

STANFORD MEDICAL INC (NPI 1811201544) is a healthcare organization registered as a family medicine in Grenada, Mississippi and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists James Keith Stanford, Owner, as its authorized official.

NPPES Registry Identity

NPI1811201544
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTANFORD MEDICAL INC
Location Address1117 SUNSET DR, SUITE 101Grenada, MS 38901-4080
Mailing Address1117 Sunset Dr, Suite 101Grenada, MS 38901-4080 · (662) 227-1744 · Fax (662) 226-1116
Phone(662) 227-1744
Fax(662) 226-1116
Organization SubpartNo
Authorized OfficialJames Keith StanfordOwner · (662) 227-1744
Enumeration DateAugust 5, 2010
Last NPPES UpdateNovember 8, 2010
✔ NPI 1811201544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1117 SUNSET DR, Grenada, MS 38901
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0966003

Stanford Medical Inc · Grenada, MS
Active · expires Jul 13, 2028
CLIA Number25D0966003
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorJames K. Stanford MD
Laboratory Phone(662) 227-1744
Laboratory LocationStanford Medical Inc1117 Sunset Drive Suite 101, Grenada, MS 38901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

BRISTER BROTHERS PHARMACY DME
Durable Medical Equipment & Medical Supplies
1117 SUNSET DR, SUITE 102
GRENADA, MS 38901
Grenada County (662) 226-1642
JOSEPH FRANK ROBERTS M.D.
Internal Medicine
1117 SUNSET DR, SUITE 101
GRENADA, MS 38901
Grenada County (662) 226-1168
JAMES K STANFORD M.D.
Family Medicine
1117 SUNSET DR, SUITE 101
GRENADA, MS 38901
Grenada County (662) 227-1744
MRS. JENNIFER LEE GOSS FNP
Nurse Practitioner (Family)
1117 SUNSET DR, SUITE 104
GRENADA, MS 38901
Grenada County (662) 226-0110
JOSEPH F ROBERTS MD PA
Internal Medicine
1117 SUNSET DR, SUITE 101
GRENADA, MS 38901
Grenada County (662) 226-1168
BRISTER BROTHERS, INC
Pharmacy
1117 SUNSET DR, SUITE 102
GRENADA, MS 38901
Grenada County (662) 226-1212

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 Stanford Medical Inc's NPI number?

The NPI number for Stanford Medical Inc is 1811201544. It was assigned to this organization in the NPPES registry on August 5, 2010.

Where is Stanford Medical Inc located?

Stanford Medical Inc is located at 1117 Sunset Dr Suite 101, Grenada, MS 38901. The listed phone number is (662) 227-1744.

What is Stanford Medical Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Stanford Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0966003) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stanford Medical Inc accept?

Health plans from Molina Healthcare list Stanford Medical Inc 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 Stanford Medical Inc was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.