Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grayson Creek Medical Clinic, LLC

Organization Family Nurse Practitioner · NPI 1184166035

Grayson Creek Medical Clinic, LLC is a Family Nurse Practitioner in Moselle, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 John Everett Rd
Moselle, MS 39459-9771
Phone: (601) 620-9991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 732001 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 732001 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 901749 (MS)

Record details

NPI number1184166035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mack Knight — Owner · (601) 408-9945
NPI enumeratedNovember 9, 2016
Last updated in NPPESOctober 19, 2017
Mailing address3 John Everett Rd, Moselle, MS 39459-9771

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