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

State of Mississippi - University of Mississippi Medical Center

Organization Emergency Medicine Physician · NPI 1013020395

State of Mississippi - University of Mississippi Medical Center is an Emergency Medicine Physician in Lexington, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3

Practice location Address checks out

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone: (662) 834-1321
Fax: (662) 834-5240
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11-119-S-2 (MS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 11-199-S-2 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11-199-S-2 (MS)

Record details

NPI number1013020395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimsley — Associate Cfo - Clinical Operations · (662) 834-5157
Other names Holmes County Hospital & Clinic
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 11407, Dept 2130, Birmingham, AL 35246-2130

Other providers in Lexington