Grenada Lake Medical Center
About this NPIWhat this record shows.
NPI 1053684548 is registered to Grenada Lake Medical Center, a healthcare organisation classified as "Family Medicine" and located at 965 Avent Dr Ste 100a in Grenada, Mississippi. The organisation's authorised official is David Putt. The organisation has been enumerated in the NPI registry since 2012.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 11516802MS· Issued by CAQH
Medicaid
- 00059747MS
Source: NPPES public registry.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Grenada Lake Medical Center accepts. To confirm in-network status with your specific health plan, contact Grenada Lake Medical Center directly at (662) 227-7444.
Frequently asked
Yes. NPI 1053684548 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (662) 227-7444.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Grenada Lake Medical Center is a Type-2 organisational NPI.