GRENADA SPECIALTY CLINIC (GSC)
NPI 1922187095
Orthopaedic Surgery in Grenada, MS

Active since November 02, 2006
960 J K AVENT DR, GRENADA, MS 38901(662) 227-7000(662) 227-7534 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grenada Specialty Clinic (gsc) NPPES

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

GRENADA SPECIALTY CLINIC (GSC) (NPI 1922187095) is a healthcare organization registered as an orthopaedic surgery in Grenada, Mississippi and active in the NPI registry since November 2006. The organization lists Charles L Denton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922187095
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGRENADA LAKE MEDICAL CENTER
Location Address960 J K AVENT DRGrenada, MS 38901-5230
Mailing Address960 J K Avent DrGrenada, MS 38901-5230 · (662) 227-7000 · Fax (662) 227-7534
Fax(662) 227-7534
Organization SubpartNo
Authorized OfficialCharles L DentonCeo · (662) 227-7000
Enumeration DateNovember 2, 2006
Last NPPES UpdateMarch 4, 2011
NPI 1922187095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
960 J K AVENT DR, Grenada, MS 38901

Other Names 1

Doing Business AsGrenada Specialty Clinic (gsc)

Other Identifiers 2

OtherC03391MS · Medicare Provider #
Medicaid04557869MS

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

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.

Internal Medicine
960 J K AVENT DR
GRENADA, MS 38901
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

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 Medical Center's NPI number?

The NPI number for Grenada Lake Medical Center is 1922187095. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Grenada Specialty Clinic (gsc).

Where is Grenada Lake Medical Center located?

Grenada Lake Medical Center is located at 960 J K Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is Grenada Lake Medical Center's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Medical Center was last updated on March 4, 2011. 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.