DELTA PHYSICIAN PRACTICES


Address: 1513 E Union St, Greenville, MS 38703-3249
Phone: 6623349712

DELTA PHYSICIAN PRACTICES (NPI# 1295854206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295854206
Entity Type Organization
Organization Name DELTA PHYSICIAN PRACTICES
Practice Address 1513 E Union St
Greenville
MS 38703-3249
Mailing Address Po Box 23998
Jackson
MS 39225-3998
Practice Telephone 6623349712
Practice Fax Number 6623329703
Mailing Telephone 6627252749
Mailing Fax Number 6627252741
Enumeration Date 2007-03-29
Last Update Date 2008-07-02
Authorized Official Name LELAND RAY HUMPHREYS (CEO)
Authorized Official Telephone 6623783783
Is Organization Subpart Y
Parent Organization Name DELTA PHYSICIAN PRACTICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 09015100 05
AR 156272002 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891814802 Delta Physician Practices Nurse Practitioner 302 Arnold Ave, Greenville, MS 38701-4711 2007-03-29
1144349168 Delta Physician Practices Neurological Surgery 1703 Hospital St, Greenville, MS 38703-3225 2007-03-29
1467571430 Delta Physician Practices Thoracic Surgery (Cardiothoracic Vascular Surgery) 1202 Hospital St, Greenville, MS 38703-3213 2007-03-28
1598038184 Delta Physician Practices Obstetrics & Gynecology 129 E Starling St, Greenville, MS 38701-4725 2012-02-14
1598086639 Delta Physician Practices Nurse Practitioner 930 Main St, Greenville, MS 38701-4111 2010-06-11
1235258252 Delta Physician Practices Pediatrics 526 Fairview Ave, Greenville, MS 38701-5401 2007-03-29
1811016827 Delta Physician Practices Obstetrics & Gynecology 508 Arnold Ave, Greenville, MS 38701-5319 2007-03-29
1790804714 Delta Physician Practices Pediatrics 227 E Starling St, Greenville, MS 38701-4772 2007-03-29
1518086537 Delta Physician Practices Family Medicine 1727 E Union St, Greenville, MS 38703-3253 2007-03-29
1417076431 Delta Physician Practices Emergency Medicine 1400 E Union St, Greenville, MS 38703-3246 2007-03-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DELTA PHYSICIAN PRACTICES 1693 Fairground Rd, Greenville, MS 38703-7810

Office Location

Street Address 1513 E UNION ST
City GREENVILLE
State MS
Zip Code 38703-3249

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427094432 Kathleen Anne Mansour Internal Medicine 1513 E Union St, Greenville, MS 38703-3249 2006-06-20
1083764542 Delta Regional Medical Center Clinic/Center 1513 E Union St, Greenville, MS 38703-3249 2007-01-10
1780604066 Patricia E Hemphill Nurse Practitioner 1513 E Union St, Greenville, MS 38703-3249 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031373 Rohith Reddy Guduru Venkata Family Medicine Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 2020-07-24
1720627599 Ava Seniors Academy LLC Clinic/Center 2425 E. Alexander Street, Greenville, MS 38703 2019-12-27
1902370661 River City Rehabilitation Physical Therapy Assistant 1707 South Colorado Suite A, Greenville, MS 38703 2019-01-16
1942743653 Jalisa R Greer Speech-Language Pathologist 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 2016-11-29
1912381609 Mvp Health Systems Pharmacy 1907 N. Medical Park Drive, Greenville, MS 38703 2015-07-13
1558704387 Joann Wilson Driver 1766 Old Leland Rd, Greenville, MS 38703 2013-04-11
1215167150 Luther Brandon Oakes Family Medicine 1907 Lisa Drive Ext, Greenville, MS 38703 2009-07-24
1346462751 Drs Lenoir and Cirilli Pa Internal Medicine 1307 East Union, Greenville, MS 38703 2007-05-03
1669598561 Michael Joseph Cirilli Internal Medicine 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 2007-03-22
1780740183 Jean Marie Barker Family Medicine 1659 East Union Street, Greenville, MS 38703 2006-12-29
Find all providers in zip 38703

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124657663 Cardiosleep Diagnostics Internal Medicine 1862 Old Fort Rd, Greenville, NC 27834-9373 2020-04-06
1760770333 Gregory Harris Internal Medicine 2340 Hemby Ln Ste 100, Greenville, NC 27834-3792 2011-07-18
1457641466 Christopher French Internal Medicine 4211 Joe Ramsey Blvd E Ste 108, Greenville, TX 75401-7858 2011-04-11
1528225356 Matthew B Sellers Internal Medicine 2 Innovation Dr., Ste. 400, Greenville, SC 29607-5270 2008-05-20
1093822421 Lee A. Surkin Internal Medicine 2459 Emerald Pl Ste 102, Greenville, NC 27834-5739 2006-08-23
1992716732 Kenneth A Hahn Internal Medicine 1306 Hospital St, Greenville, MS 38703-3215 2006-08-10
1578582441 Cynthia Lynn Kues Internal Medicine 404 Durley St, Greenville, IL 62246-1504 2006-07-19
1326077058 Michael Mansour Internal Medicine 1315 E Union St, Greenville, MS 38703-3245 2006-07-03
1427094432 Kathleen Anne Mansour Internal Medicine 1513 E Union St, Greenville, MS 38703-3249 2006-06-20
1952364200 James L Young Jr. Internal Medicine 14 Edgewood Drive, Greenville, SC 29605 2006-04-08
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 38703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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