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

Grenada Lake Inpatient Medicine Associates

Organization Internal Medicine Physician · NPI 1235284928

Grenada Lake Inpatient Medicine Associates is an Internal Medicine Physician in Grenada, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

960 J K Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7492
Fax: (662) 227-7541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1235284928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Heartsill — Cfo · (662) 227-7172
NPI enumeratedJanuary 24, 2007
Last updated in NPPESApril 20, 2008
Mailing addressPo Box 52007, Atlanta, GA 30355-0007

Other providers in Grenada