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UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC
NPI 1932538527
Family Medicine in Grenada, MS

Active since November 05, 2013
965 AVENT DR, SUITE 100A, GRENADA, MS 38901(662) 227-7444(662) 227-7443 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1932538527
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address965 AVENT DR, SUITE 100AGrenada, MS 38901-5045
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-4113
Phone(662) 227-7444
Fax(662) 227-7443
Organization SubpartYesParent: State Of Mississippi - University Of Mississippi Medical Center
Authorized OfficialKevin CookCeo · (601) 984-4113
Enumeration DateNovember 5, 2013
Last NPPES UpdateMarch 6, 2014
✔ NPI 1932538527 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.
965 AVENT DR, Grenada, MS 38901
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Other Names 1

Doing Business AsUniversity Of Mississippi Medical Center-grenada Specialty Clinic

Other Identifiers 1

Medicare PIN326164MS

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

MRS. LILLIAN LORRAINE DUBARD CFNP
Nurse Practitioner
965 AVENT DR, SUITE 107
GRENADA, MS 38901
Grenada County (662) 227-7575
MISSISSIPPI INPATIENT MEDICINE ASSOCIATES, PLLC
Internal Medicine
965 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-6426
DR. AMY FLOYD FNP
Nurse Practitioner (Family)
965 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-6488

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.

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 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.