Grenada Emergency Group, LLC
Grenada Emergency Group, LLC is a healthcare organization registered as Emergency Medicine Physician in Grenada, MS, holding Type 2 (organization) NPI 1194388082 since 2019. The authorized official on file is Lisha Falk, Vp of Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194388082 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grenada Emergency Group, LLC |
| Practice address | 960 AVENT DR, Grenada, MS, 38901 |
| Phone | 6622277000 |
| Enumeration date | 2019-04-17 |
| Last updated in NPPES | 2023-11-14 |
Authorized official
| Name | Lisha Falk |
|---|---|
| Title | Vp of Contracting |
| Phone | 3376091221 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 208M00000X | Hospitalist Physician | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07238386 | Medicaid | MS | — |
Copy-ready billing details
Provider: Grenada Emergency Group, LLC NPI: 1194388082 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 960 AVENT DR, Grenada, MS, 38901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386644789 | Grenada Lake Medical Center | Organization | Rural Acute Care Hospital | Grenada, MS |
| 1679544183 | Grenada Anesthesiology Inc. | Organization | Anesthesiology Physician | Grenada, MS |
| 1295700011 | Grenada Lake Medical Center Dme | Organization | Durable Medical Equipment & Medical Supplies | Grenada, MS |
| 1144295965 | Grenada Lake Medical Center | Organization | Home Health Agency | Grenada, MS |
| 1053386870 | Grenada Lake Medical Center | Organization | Skilled Nursing Facility | Grenada, MS |
| 1447213509 | Walter Taylor | Individual | Anesthesiology Physician | Grenada, MS |
| 1306881875 | Dennis Aust | Individual | Emergency Medicine Physician | Grenada, MS |
| 1043246259 | Tarence Wade | Individual | Emergency Medicine Physician | Grenada, MS |
Verify this record
Cross-check NPI 1194388082 against the authoritative CMS record: view Grenada Emergency Group, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Grenada Emergency Group, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-11-14.