Grenada Family Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRENADA FAMILY MEDICINE CLINIC

Doing business as

Winona Family Medicine Clinic

Practice address

1300 Sunset Dr
Suite F
Grenada, MS 38901-4086

Phone

(662) 226-5747

Fax

(662) 226-5622

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph C Armstrong, M.D.

Title

President

Phone

(662) 226-5747

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Winona Family Medicine Clinic Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Grenada Family Medicine Clinic

  dba Winona Family Medicine Clinic

  • Family Medicine Physician
  • Winona, MS
  • NPI 1912058231
  NPPES parent name

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1700994738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE F",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-226-5747",
            "fax_number": "662-226-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE F",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-226-5747",
            "fax_number": "662-226-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-226-5747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013778",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RALPH C ARMSTRONG, MD NPI",
            "identifier": "1417975731",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014826",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RICHARD C. REID, MD  NPI",
            "identifier": "1528086857",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH9466",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS",
            "identifier": "A12112009661880",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KERRY TODD LEE, MD NPI",
            "identifier": "1467470799",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grenada Dental Clinic PLLC
• Grenada Diagnostic Radiology
• Grenada Diagnostic Sleep Center, LLC
• Grenada Emergency Group, LLC
• Grenada Family Chiropractic Inc
• Grenada Hematology Oncology LLC
• Grenada Lake Inpatient Medicine Associates
• Grenada Lake Medical Center
• Grenada Lake Medical Center (Grenada Specialty Clinic - Terry Pummer)
• Grenada Lake Medical Center (Grenada Primary Care Clinic)

• Family Medicine Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.