STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1932538527

NPI Information

  • NPI: 1932538527
  • Provider Name: STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC
  • Address: 965 AVENT DR
    SUITE 100A
    GRENADA, MS
    ZIP 38901
  • Phone: (662) 227-7444

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NPI Details

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is a family medicine in Grenada, MS. The provider is 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. STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1932538527. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Of Mississippi Medical Center-grenada Specialty Clinic.

The provider's business location address is:

965 AVENT DR
SUITE 100A
GRENADA, MS
ZIP 38901-045
Phone: (662) 227-7444
Fax: (662) 227-7443

The provider's authorized official is Kevin Cook .
The authorized official title is Ceo and has the following contact phone number (601) 984-4113.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 3/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1326164MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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