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Provider record · NPI 1053684548 · active

GRENADA LAKE MEDICAL CENTER

Family Medicine Physician in GRENADA, Mississippi

Record

NPI
1053684548
Type
Organization (NPI-2)
Specialty
Family Medicine Physician (207Q00000X)
Practice location
GRENADA MS 38901
Practice phone
6622277444
Last updated
2014-03-18

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

1 named leadership contact on file, by role:

Executive
1

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

Similar organisations

Organisations like GRENADA LAKE MEDICAL CENTER

OrganisationTypeLocationBeds
Grenada Family Medicine ClinicFamily Medicine PhysicianGrenada, MS—
H & P Investors, LLCFamily Medicine PhysicianGrenada, MS—
Mal S Riddell, D.O. ClinicFamily Medicine PhysicianGrenada, MS—
Stanford Medical IncFamily Medicine PhysicianGrenada, MS—
State of Mississippi-University of Mississippi Medical CenterFamily Medicine PhysicianGrenada, MS—
FAQ

About GRENADA LAKE MEDICAL CENTER

Who runs GRENADA LAKE MEDICAL CENTER?

1 named leadership contact is on file (executive 1). Names and titles are available to signed-in customers.

Reach the people behind GRENADA LAKE MEDICAL CENTER

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

GRENADA LAKE MEDICAL CENTER · NPI 1053684548 · NPI Mark