Grenada Lake Medical Center
NPI 1669578894 · Obstetrics & Gynecology Physician · Grenada, MS
Grenada Lake Medical Center is a Obstetrics & Gynecology Physician organization in Grenada, MS (NPI 1669578894).
Provider details
- NPI number
- 1669578894
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelley Smith, Clinical Director(662) 226-5121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Grenada Women'S Services
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2012-04-03
Frequently asked questions
- What is Grenada Lake Medical Center's NPI number?
- Grenada Lake Medical Center's National Provider Identifier (NPI) is 1669578894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grenada Lake Medical Center?
- Grenada Lake Medical Center is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Grenada Lake Medical Center located?
- Grenada Lake Medical Center's practice location on file with NPPES is 1900 Grandview Dr, Grenada, MS 38901-5066.
- What is Grenada Lake Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Grenada Lake Medical Center is (662) 226-5121.
- Who is the authorized official for Grenada Lake Medical Center?
- The authorized official listed on Grenada Lake Medical Center's NPPES record is Shelley Smith, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grenada Lake Medical Center's NPI active?
- Yes — Grenada Lake Medical Center's NPI (1669578894) is active in the NPPES registry as of the last update on 2012-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.