Orthopaedic Surgery
GRENADA LAKE MEDICAL CENTER
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 Plan acceptance stays unpublished until the practice reports it.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 1922187095 · enumerated 2006-11-02 · record updated 2011-03-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. CHARLES DENTON, CEO · (662) 227-7000
Other names: GRENADA SPECIALTY CLINIC (GSC)
Addresses and phones
- Mailing address 960 J K AVENT DR, GRENADA, MS, 38901-5230 (662) 227-7000 Fax (662) 227-7534 Google Maps Apple Maps OpenStreetMap
- Practice location 960 J K AVENT DR, GRENADA, MS, 38901-5230 (662) 227-7000 Fax (662) 227-7534 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · 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.