Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grayson Creek Medical Clinic, LLC

Organization Family Nurse Practitioner · NPI 1184166035

Grayson Creek Medical Clinic, LLC provides Family Nurse Practitioner services in Moselle, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 John Everett Rd
Moselle, MS 39459-9771
Phone: (601) 620-9991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 732001 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 732001 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 901749 (MS)

Record details

NPI number1184166035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mack Knight — Owner · (601) 408-9945
NPI enumeratedNovember 9, 2016
Last updated in NPPESOctober 19, 2017
Mailing address3 John Everett Rd, Moselle, MS 39459-9771

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