Delta Family Medical Services Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20731 Issued in MS

Legal business name

DELTA FAMILY MEDICAL SERVICES INC

Practice address

1554 S Colorado St
Greenville, MS 38703-7219

Phone

(662) 334-8557

Fax

(662) 334-8565

NPI assigned

Mar 18, 2011

Last updated

Nov 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Neal Suares Jr., M.D.NPI 1275733636

Title

Owner

Phone

(662) 334-8557

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Neal Suares Jr., M.D.

  • Family Medicine Physician
  • Greenville, MS
  • NPI 1275733636
  Medicare reassignment Care Compare group NPD Authorized official
• Allison Britt, FNP-C

  • Nurse Practitioner
  • Greenville, MS
  • NPI 1356985121
  Medicare reassignment Care Compare group NPD
• Carrie Janous, CFNP

  • Family Nurse Practitioner
  • Cleveland, MS
  • NPI 1275624868
  Medicare reassignment Care Compare group NPD
• Peyton Jernigan, NP

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1992650204
  Medicare reassignment Care Compare group NPD
• Mary Catherine Palasini, FNP-C

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1457940538
  Medicare reassignment Care Compare group NPD
• Carol Cashion Doolittle, CFNP

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1568792885
  Medicare reassignment Care Compare group
• Emma Orman Rounsavall

  • Physician Assistant
  • Memphis, TN
  • NPI 1275265936

  MS

  Medicare reassignment Care Compare group
• Casey Pittman Nelson, FNP-C

  • Primary Care Nurse Practitioner
  • Glen Allan, MS
  • NPI 1477135267
  Medicare reassignment NPD

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1144529983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BAYOU RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017731",
            "telephone_number": "662-334-8557",
            "fax_number": "662-334-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-334-8557",
            "fax_number": "662-334-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Crittenden St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387016329",
            "country_code": "US",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELTA FAMILY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "SUARES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-334-8557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "20731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08506528",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta Community Mental Health
• Delta Community Mental Health Services
• Delta Community Mental Health Services
• Delta Critical Care & Lung Consultants P.C.
• Delta Emergency Group LLC
• Delta Health Center, Inc.
• Delta Health Center, Inc.
• Delta Health System (Delta Health Provider Based Clinics)
• Delta Health System (Delta Health Cancer Center)
• Delta Health System (Delta Health-The Medical Center)

• Health Service Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.