State of Mississippi-University of Mississippi Medical Center
NPI 1578011417 · Rural Health Clinic/Center · Grenada, MS
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Mississippi-University of Mississippi Medical Center is a Rural Health Clinic/Center organization in Grenada, MS (NPI 1578011417).
Provider details
- NPI number
- 1578011417
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Whittemore, Cfo Grenada/Holmes County(662) 227-7172
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Acute Care Hospital282NR1301X
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ummc Grenda Specialty Peds
- Doing business as
- Ummc Grenda Specialty Peds
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2018-09-18
Frequently asked questions
- What is State of Mississippi-University of Mississippi Medical Center's NPI number?
- State of Mississippi-University of Mississippi Medical Center's National Provider Identifier (NPI) is 1578011417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Mississippi-University of Mississippi Medical Center?
- State of Mississippi-University of Mississippi Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is State of Mississippi-University of Mississippi Medical Center located?
- State of Mississippi-University of Mississippi Medical Center's practice location on file with NPPES is 965 Avent Dr Ste 100b, Grenada, MS 38901-5045.
- What is State of Mississippi-University of Mississippi Medical Center's phone number?
- The practice phone number listed in the NPPES registry for State of Mississippi-University of Mississippi Medical Center is (662) 227-7172.
- Does State of Mississippi-University of Mississippi Medical Center accept Medicare?
- State of Mississippi-University of Mississippi Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for State of Mississippi-University of Mississippi Medical Center?
- The authorized official listed on State of Mississippi-University of Mississippi Medical Center's NPPES record is Scott Whittemore, Cfo Grenada/Holmes County. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Mississippi-University of Mississippi Medical Center's NPI active?
- Yes — State of Mississippi-University of Mississippi Medical Center's NPI (1578011417) is active in the NPPES registry as of the last update on 2018-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.