Grenada Emergency Group, LLC
NPI 1194388082ActiveOrganization· Emergency Medicine· Grenada, MS
Emergency Medicine in Grenada, Mississippi, registered in NPPES in April 2019. The authorized official on file is Lisha C. Falk, Vp Of Contracting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194388082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2019 |
| Last updated in NPPES | Nov 14, 2023 |
| Certified by provider | Nov 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Hospitalist | 208M00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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