State of Mississippi-University of Mississippi Medical Center
NPI 1831520691 · Certified Registered Nurse Anesthetist · Grenada, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Mississippi-University of Mississippi Medical Center is a Certified Registered Nurse Anesthetist organization in Grenada, MS (NPI 1831520691).
Provider details
- NPI number
- 1831520691
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- State of Mississippi-University of Mississippi Medical Center
- Organization subpart
- Yes
- Authorized official
- Kevin Cook, Ceo(601) 984-4113
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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-Grenada Crna Services
Registry dates
- Enumerated
- 2013-12-04
- Last updated
- 2014-03-06
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 1831520691, 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 Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- 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 960 Avent Dr, Grenada, MS 38901-5230.
- 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) 227-7000.
- 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 Kevin Cook, Ceo. 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 (1831520691) is active in the NPPES registry as of the last update on 2014-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.