DELTA PHYSICIAN PRACTICES – NPI #1518086537
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DELTA PHYSICIAN PRACTICES is a provider located in GREENVILLE, MS. NPPES has assigned the NPI number 1518086537 to DELTA PHYSICIAN PRACTICES on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Nov 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DELTA PHYSICIAN PRACTICES below.

NPI Profile for
DELTA PHYSICIAN PRACTICES

NPI Number
1518086537
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DELTA PHYSICIAN PRACTICES
Primary location
1727 E UNION ST
GREENVILLE, MS 38703-3253
Phone: (662) 332-0373 Fax: (662) 332-0375
Mailing address
PO BOX 23998
JACKSON, MS 39225-3998
Phone: (662) 725-2749 Fax: (662) 725-2741
Organization Subpart
Yes - DELTA PHYSICIAN PRACTICES is subpart of another organization.
Authorized Official
IRIS STACKER
CEO
Phone: (662) 378-3783
Updated
Certification Date
Nov 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DELTA PHYSICIAN PRACTICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAR156272002
medicaidMS09015100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.