GRENADA DERMATOLOGY
NPI 1942976378
Dermatology - MOHS-Micrographic Surgery in Grenada, MS

Active since August 17, 2021CLIA 25D2262095 · Certificate of Compliance
80 S MAIN ST, GRENADA, MS 38901(662) 307-9030(662) 307-9038 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, May 9, 2023, May 7, 2023 and 2 more (5 updates tracked since 2021).

About Grenada Dermatology NPPES

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

GRENADA DERMATOLOGY (NPI 1942976378) is a healthcare organization registered as a mohs-micrographic surgery in Grenada, Mississippi and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through January 11, 2027 and lists Cesar E Guerrero, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942976378
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCESAR ENRIQUE GUERRERO MD FAAD PA
Location Address80 S MAIN STGrenada, MS 38901-2620
Mailing Address80 S Main StGrenada, MS 38901-2620 · (662) 307-9030 · Fax (662) 307-9038
Fax(662) 307-9038
Organization SubpartNo
Authorized OfficialCesar E GuerreroCeo · (662) 307-9030
Enumeration DateAugust 17, 2021
Last NPPES UpdateSeptember 6, 20235 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1942976378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
80 S MAIN ST, Grenada, MS 38901

Other Names 1

Doing Business AsGrenada Dermatology

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 Compliance 25D2262095

Grenada Dermatology · Grenada, MS
Active · expires Jan 11, 2027
CLIA Number25D2262095
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorDr. Cesar E. Guerrero
Laboratory Phone(662) 307-9030
Laboratory LocationGrenada Dermatology80 S Main St, Grenada, MS 38901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Dermatology
80 S MAIN ST
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 Cesar Enrique Guerrero MD Faad PA's NPI number?

The NPI number for Cesar Enrique Guerrero MD Faad PA is 1942976378. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Grenada Dermatology.

Where is Cesar Enrique Guerrero MD Faad PA located?

Cesar Enrique Guerrero MD Faad PA is located at 80 S Main St, Grenada, MS 38901. The listed phone number is (662) 307-9030.

What is Cesar Enrique Guerrero MD Faad PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Cesar Enrique Guerrero MD Faad PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2262095) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cesar Enrique Guerrero MD Faad PA accept?

Health plans from Molina Healthcare list Cesar Enrique Guerrero MD Faad PA 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 Cesar Enrique Guerrero MD Faad PA was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.