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 Internal Medicine Physician · NPI 1760285936

State of Mississippi - University of Mississippi Medical Center is an Internal Medicine Physician in Canton, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

163 River Oaks Dr
Canton, MS 39046-5313
Phone: (601) 984-1000
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 number1760285936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimsley — Associate Cfo - Clinical Operations · (601) 815-6270
Other names Ummc Madison Physicians Group
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing addressPo Box 11407, Birmingham, AL 35246-2130

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