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

Grenada Emergency Group, LLC

Organization Emergency Medicine Physician · NPI 1194388082

Grenada Emergency Group, LLC is an Emergency Medicine Physician in Grenada, Mississippi. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
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

960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 239 Bowling Green Rd, Lexington, MS 39095-5167 — (662) 834-1321

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1194388082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedApril 17, 2019
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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