Delta Healthcare Center, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DELTA HEALTHCARE CENTER, P.C.

Practice address

1308 Briarville Rd
Madison, TN 37115-5127

Phone

(615) 868-3131

Fax

(615) 515-0205

NPI assigned

Sep 2, 2015

Last updated

Nov 25, 2016By 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

Mene Zua, MDNPI 1003801937

Title

President/Ceo

Phone

(615) 868-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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.

• Mene Sugage Zua, MD

  • Gastroenterology Physician
  • Madison, TN
  • NPI 1003801937
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480032000000",
    "number": "1386011799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BRIARVILLE RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155127",
            "telephone_number": "615-868-3131",
            "fax_number": "615-515-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 BRIARVILLE RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155127",
            "telephone_number": "615-868-3131",
            "fax_number": "615-515-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTHCARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-11-25",
        "status": "A",
        "authorized_official_last_name": "ZUA",
        "authorized_official_first_name": "MENE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-868-3131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Machelle Davis, RN
• Sharonda Davis
• Laura Elizabeth Davitt
• Derek Alan Dean, PHARMD
• Kelsey Danielle Deason
• Kelneccia Vontae Denman
• Andrew Scott Dennis, COTA
• Madison Denton
• Alescia Leann Devasher, CRNA, MS, APN
• Mary Elizabeth Devasher, CRNA,

• Internal Medicine Physician in Madison, TN
• Providers in Madison, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.