Organization Active NPI

Delta Health System

Doing business as Delta Health-Senatobia Medical Group

  • General Practice Physician
  • Senatobia, MS
National Provider Identifier
1053086819
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DELTA HEALTH SYSTEM
Doing business as
Delta Health-Senatobia Medical Group
Practice address
401 Getwell Dr
Senatobia, MS 38668-2213
Phone
(601) 278-4104
NPI assigned
Aug 13, 2021
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Hammons
Title
Cao
Phone
(601) 278-4104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

401 Getwell Dr
Senatobia, MS 38668-2213

Mailing address

PO Box 5247
Greenville, MS 38704-5247
Phone (601) 278-4104

Other names 1

  • Delta Health-Senatobia Medical Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1053086819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5247",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045247",
            "telephone_number": "601-278-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GETWELL DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682213",
            "telephone_number": "601-278-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "HAMMONS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "601-278-4104"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Health-Senatobia Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Health-Senatobia Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.