Family Health Clinic of Grenada
NPI 1144400607ActiveOrganization· Nurse Practitioner, Family· Grenada, MS
Nurse Practitioner, Family in Grenada, Mississippi, registered in NPPES in November 2007. The authorized official on file is Henry Brister, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144400607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2007 |
| Last updated in NPPES | Dec 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R875035 | MS |
| Nurse Practitioner, Family | 363LF0000X | R742805 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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