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

State of Mississippi-University of Mississippi Medical Center

Organization Certified Registered Nurse Anesthetist · NPI 1831520691

State of Mississippi-University of Mississippi Medical Center provides Certified Registered Nurse Anesthetist services in Grenada, Mississippi. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

960 Avent Dr
Grenada, MS 38901-5230 Not confirmed with CMS for 12 years — call before visiting
Phone: (662) 227-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1831520691
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Mississippi-University of Mississippi Medical Center
Authorized official Kevin Cook — Ceo · (601) 984-4113
Other names Ummc-Grenada Crna Services
NPI enumeratedDecember 4, 2013
Last updated in NPPESMarch 6, 2014
Mailing address960 Avent Dr, Grenada, MS 38901-5230

Other providers in Grenada