Provider Type Icon

GRENADA PHYSICIAN SERVICES LLC NPI 1932762721


NPI Information

NPI: 1932762721
Provider Name: GRENADA PHYSICIAN SERVICES, LLC
Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
960 AVENT DR
GRENADA, MS
ZIP 38901
Phone: (662) 227-7000
Get Directions

GRENADA PHYSICIAN SERVICES, LLC is a hospitalist in Grenada, MS. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. GRENADA PHYSICIAN SERVICES, LLC NPI is 1932762721. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

960 AVENT DR
GRENADA, MS
ZIP 38901-230
Phone: (662) 227-7000

The provider's authorized official is Lisha C Falk .
The authorized official title is Vp Of Contracting and has the following contact phone number (800) 893-9698.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 5/17/2021.


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
1208M00000XHospitalistYes
2363L00000XNurse PractitionerNo

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
107053226MEDICAIDMISSISSIPPI

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.