Grenada Lake Inpatient Medicine Associates
NPI 1235284928ActiveOrganization· Internal Medicine· Grenada, MS
Internal Medicine in Grenada, Mississippi, registered in NPPES in January 2007. The authorized official on file is Keith Heartsill, Cfo.
Overview
| NPI | 1235284928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Apr 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine providers in Grenada
- 1629269709
- 1750336574
- 1518980887
- 1023129608
- 1295997211