NPIMap

Organization Active NPI

Delta Hills Nephrology Clinics PLLC

  • Nephrology Physician
  • Greenwood, MS
National Provider Identifier
1811764475
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DELTA HILLS NEPHROLOGY CLINICS PLLC
Practice address
609 Tallahatchie St
Greenwood, MS 38930-2005
Phone
(601) 924-5322
Fax
(601) 510-9110
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Lori Williams
Title
Billing Manager
Phone
(601) 924-5322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

609 Tallahatchie St
Greenwood, MS 38930-2005

Mailing address

PO Box 1261
Clinton, MS 39060-1261
Phone (601) 924-5322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216000527 MS Part B Supplier - Clinic/Group Practice 4486098555 Receives reassigned benefits from 5 practitioners
Practice locations: Cleveland, MS; Greenwood, MS; Grenada, MS; Indianola, MS

National Provider Directory

National Provider Directory

Locations

609 Tallahatchie St
Greenwood, MS 38930
Phone (601) 453-5208

33 W Monroe St
Grenada, MS 38901

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1811764475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390601261",
            "telephone_number": "601-924-5322",
            "fax_number": "601-510-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TALLAHATCHIE ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302005",
            "telephone_number": "601-924-5322",
            "fax_number": "601-510-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HILLS NEPHROLOGY CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-924-5322"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.