DELTA PHYSICIAN PRACTICES – NPI #1174642144
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

DELTA PHYSICIAN PRACTICES is a provider located in GREENVILLE, MS. NPPES has assigned the NPI number 1174642144 to DELTA PHYSICIAN PRACTICES on March 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DELTA PHYSICIAN PRACTICES is also known by the name DELTA HEALTH-GREENVILLE MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 4 years ago on Nov 04, 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
1174642144
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
Other Name: DELTA HEALTH-GREENVILLE MEDICAL GROUP
Primary location
1502 S COLORADO ST
GREENVILLE, MS 38703-7219
Phone: (662) 332-9872 Fax:
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) 725-2264
Updated
Certification Date
Nov 04, 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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
363L00000X
- Nurse Practitioner

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.