GRAYSON CREEK MEDICAL CLINIC, LLC
GRAYSON CREEK MEDICAL CLINIC, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1184166035, based in Moselle, MS. The organization lists 2 taxonomy classifications, with Pediatric Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 3 JOHN EVERETT RD, Moselle, MS 39459. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 732001 | MS | Pediatric Nurse Practitioner primary |
| 732001 | MS | Family Nurse Practitioner |
| 901749 | MS | Family Nurse Practitioner |
This provider holds licence 732001 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1153605233
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | 732001 | MS | primary |
| 363LF0000X | Family Nurse Practitioner Family | 732001 | MS | |
| 363LF0000X | Family Nurse Practitioner Family | 901749 | MS |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1184166035 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 9, 2016 |
| Last updated | Oct 19, 2017 |
| Status | Active |
| Practice address |
3 JOHN EVERETT RD Moselle, MS 39459 (601) 620-9991 |
| Other identifiers |
0044232
(MS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 1 | 6 | 6 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 2 | 6 | 3 | 0 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.