Organization Active NPI

Wound Management and Vascular Surgery Center at Stone Creek LLC

  • Surgery Physician
  • Flowood, MS
National Provider Identifier
1003720053
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOUND MANAGEMENT AND VASCULAR SURGERY CENTER AT STONE CREEK LLC
Practice address
120 Stone Creek Blvd Ste 800
Flowood, MS 39232-8205
Phone
(769) 243-6141
Fax
(601) 510-1665
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lachelle Griffin
Title
Chro
Phone
(769) 208-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

120 Stone Creek Blvd Ste 800
Flowood, MS 39232-8205

Mailing address

778 Liberty Rd
Flowood, MS 39232-9321
Phone (769) 243-6141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1003720053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329321",
            "telephone_number": "769-243-6141",
            "fax_number": "601-510-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONE CREEK BLVD STE 800",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328205",
            "telephone_number": "769-243-6141",
            "fax_number": "601-510-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MANAGEMENT AND VASCULAR SURGERY CENTER AT STONE CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "LACHELLE",
        "authorized_official_title_or_position": "CHRO",
        "authorized_official_telephone_number": "769-208-4437"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.