Emergency Medicine
GRENADA EMERGENCY GROUP, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194388082 · enumerated 2019-04-17 · record updated 2023-11-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LISHA FALK, VP of Contracting · (337) 609-1221
Addresses and phones
- Practice location 960 AVENT DR, GRENADA, MS, 38901-5230 (662) 227-7000 Google Maps Apple Maps OpenStreetMap
- Mailing address 200 CORPORATE BLVD, LAFAYETTE, LA, 70508-3870 (800) 893-9698 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X
- Hospitalist 208M00000X
- Physician Assistant 363A00000X
- Emergency Medicine 207P00000X · Primary
In this directory
Locations and evidence
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Practice location
GRENADA, MS, 389015230
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.