UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC
NPI 1932538527
Family Medicine in Grenada, MS
About University Of Mississippi Medical Center-grenada Specialty Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC (NPI 1932538527) is a healthcare organization registered as a family medicine in Grenada, Mississippi and active in the NPI registry since November 2013. The organization lists Kevin Cook, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
University Of Mississippi Medical Center-grenada Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,923Medicare enrollment records show 1,923 clinicians reassign Medicare billing to University Of Mississippi Medical Center-Grenada Specialty Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 67
Nearest to this location (20)
See all 1,923Source: 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 1932538527. It was assigned to this organization in the NPPES registry on November 5, 2013. The provider is doing business as University Of Mississippi Medical Center-Grenada Specialty Clinic.
Where is State Of Mississippi-University Of Mississippi Medical Center located?
State Of Mississippi-University Of Mississippi Medical Center is located at 965 Avent Dr Suite 100A, Grenada, MS 38901. The listed phone number is (662) 227-7444.
What is State Of Mississippi-University Of Mississippi Medical Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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), 1,923 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, 4 practice at this address and 21 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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# University Of Mississippi Medical Center-Grenada Specialty Clinic · NPI 1932538527
Family Medicine organization in Grenada, Mississippi. Organization record, active in the CMS NPPES registry since November 5, 2013.
## Identity
- **NPI:** 1932538527 (Entity type: Organization)
- **Enumerated:** November 5, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** State Of Mississippi-University Of Mississippi Medical Center
- **Organization subpart:** Yes (part of State Of Mississippi - University Of Mississippi Medical Center)
- **Authorized official:** Kevin Cook, CEO
## Practice location
- **Address:** 965 AVENT DR, SUITE 100A, Grenada, MS 38901-5045
- **Phone:** (662) 227-7444 · **Fax:** (662) 227-7443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,923 clinicians in 67 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (427), Pediatric Medicine (204), Certified Registered Nurse Anesthetist (CRNA) (155); 4 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1932538527/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2014
- **Other identifiers:** Medicare PIN 326164 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1932538527) · Data from the CMS NPPES public registry.