Active NPI
Delta Health System
Doing business as Delta Health-Senatobia Medical Group
- General Practice Physician
- Senatobia, MS
National Provider Identifier
1053086819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Member Of
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.