NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Grayson Creek Medical Clinic, LLC

Pediatric Nurse Practitioner in Moselle, MS · enumerated 2016 · authorized official Mack Knight, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184166035

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Grayson Creek Medical Clinic, LLC
Practice address 3 John Everett Rd, Moselle, MS, 39459
Phone (601) 620-9991
Enumeration date Nov 9, 2016
Last updated in NPPES Oct 19, 2017

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 732001 (MS) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 901749 (MS) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 732001 (MS) Primary

Authorized official

Name Mack Knight
Title Owner
Phone (601) 408-9945

Other identifiers

Identifier Type State Issuer
0044232 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-19. Verify at npiregistry.cms.hhs.gov.
Where is Grayson Creek Medical Clinic, LLC located?
The practice location on file with NPPES is in Moselle, MS.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-19.