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Grenada Lake Inpatient Medicine Associates

Internal Medicine Physician in Grenada, MS · enumerated 2007 · authorized official Keith Heartsill, Cfo.

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

National Provider Identifier

1235284928

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Registry record

Entity type Organization (Type 2)
Legal business name Grenada Lake Inpatient Medicine Associates
Practice address 960 J K Avent Dr, Grenada, MS, 38901
Phone (662) 227-7492
Fax (662) 227-7541
Enumeration date Jan 24, 2007
Last updated in NPPES Apr 20, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Keith Heartsill
Title Cfo
Phone (662) 227-7172

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grenada Lake Inpatient Medicine Associates?
Grenada Lake Inpatient Medicine Associates is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.