STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1881466910
Clinic/Center - Rural Health in Grenada, MS

Active since October 23, 2023
1300 SUNSET DR STE R, GRENADA, MS 38901(662) 227-7000 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1881466910), doing business as Ummc Grenada Primary Medicine Clinic, is a healthcare organization registered as a rural health in Grenada, Mississippi and active in the NPI registry since October 2023. The organization lists Scott Whittemore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881466910
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address1300 SUNSET DR STE RGrenada, MS 38901-4084
Mailing Address960 Avent DrGrenada, MS 38901-5230 · (662) 227-7172
Organization SubpartYes
Authorized OfficialScott WhittemoreCfo · (662) 227-7172
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
NPI 1881466910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1300 SUNSET DR STE R, Grenada, MS 38901

Other Names 1

Doing Business AsUmmc Grenada Primary Medicine Clinic

Accepted Insurance

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 1881466910. It was assigned to this organization in the NPPES registry on October 23, 2023. The provider is doing business as UMMC Grenada Primary Medicine Clinic.

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

State Of Mississippi - University Of Mississippi Medical Center is located at 1300 Sunset Dr Ste R, Grenada, MS 38901. The listed phone number is (662) 227-7000.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee 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 October 23, 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.