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 Obstetrics & Gynecology Physician · NPI 1841620846

State of Mississippi-University of Mississippi Medical Center is an Obstetrics & Gynecology Physician in Grenada, Mississippi. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

960 Avent Dr Fl 2
Grenada, MS 38901-5230
Phone: (662) 226-5121
Fax: (662) 226-7529
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1841620846
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Mississippi-University of Mississippi Medical Center
Authorized official Scott Whittemore — Cfo · (601) 984-5017
Other names University Of Mississippi Medical Center-Grenada Women'S Services; University Of Mississippi Medical Center-Grenada Women'S Services
NPI enumeratedNovember 13, 2013
Last updated in NPPESOctober 30, 2023
Certification dateOctober 26, 2023
Mailing address504 Clinton Center Drive, Cbo Suite 4300, Clinton, MS 39056

Other providers in Grenada