GRENADA LAKE INPATIENT MEDICINE ASSOCIATES – Internal Medicine Physician, NPI 1235284928

GRENADA LAKE INPATIENT MEDICINE ASSOCIATES is a healthcare provider. based in Atlanta, Georgia. specializing in Internal Medicine Physician. The NPI Number for GRENADA LAKE INPATIENT MEDICINE ASSOCIATES is 1235284928

Main info

Organization
Name
GRENADA LAKE INPATIENT MEDICINE ASSOCIATES
NPI
1235284928
Phone
(678) 397-0060
Address
PO BOX 52007
Authorized Official
KEITH HEARTSILL CFO
Enumeration Date
24 January 2007
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for GRENADA LAKE INPATIENT MEDICINE ASSOCIATES

  • PO BOX 52007

    ATLANTA, GA 303550007

    Phone: (678) 397-0060

    Fax: (678) 397-0065

    Type: Mailing

  • 960, J K Avent Drive, Grenada, Grenada County, Mississippi, 38901, United States

    GRENADA, MS 389015230

    Phone: (662) 227-7492

    Fax: (662) 227-7541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30355)

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Reviews

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Frequently asked questions

What unique ID ties claims to GRENADA LAKE INPATIENT MEDICINE ASSOCIATES?
NPI 1235284928 is assigned to GRENADA LAKE INPATIENT MEDICINE ASSOCIATES under the national enumeration system.
Is GRENADA LAKE INPATIENT MEDICINE ASSOCIATES active in the national directory?
GRENADA LAKE INPATIENT MEDICINE ASSOCIATES's public NPI profile is in an active state.
Can you summarize GRENADA LAKE INPATIENT MEDICINE ASSOCIATES's specialty in plain language?
Clinically, the directory lists GRENADA LAKE INPATIENT MEDICINE ASSOCIATES with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is GRENADA LAKE INPATIENT MEDICINE ASSOCIATES's primary listing?
We display Atlanta, Georgia because that is what the record indicates for GRENADA LAKE INPATIENT MEDICINE ASSOCIATES.
Is GRENADA LAKE INPATIENT MEDICINE ASSOCIATES a real provider?
This page reflects official NPPES data for NPI 1235284928. Always confirm identity and privileges with the practice and licensing boards.

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