DELTA PHYSICIAN PRACTICES (NPI# 1598086639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598086639 |
Entity Type | Organization |
Organization Name | DELTA PHYSICIAN PRACTICES |
Practice Address |
930 Main St Greenville MS 38701-4111 |
Mailing Address |
Po Box 1734 Greenville MS 38702-1734 |
Practice Telephone | 6623321398 |
Practice Fax Number | 6623327107 |
Mailing Telephone | 6627252749 |
Mailing Fax Number | 6627252741 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-06-11 |
Authorized Official Name | COURTNEY PHILLIPS (CFO) |
Authorized Official Telephone | 6623783783 |
Authorized Official Credential | CFO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09015100 | 05 |
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 |
1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DELTA PHYSICIAN PRACTICES | 1693 Fairground Rd, Greenville, MS 38703-7810 |
Street Address |
930 MAIN ST |
City | GREENVILLE |
State | MS |
Zip Code | 38701-4111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528004249 | Monica M, Jones | Registered Nurse | 930 Main St, Greenville, MS 38701-4111 | 2006-06-21 |
1043564735 | Delta Specialty Clinic PC | Clinic/Center | 930 Main St, Greenville, MS 38701-4111 | 2012-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
Find all providers in zip 38701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38701 |
Please comment or provide details below to improve the information on DELTA PHYSICIAN PRACTICES.
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.