Organization Active NPI

Delta Hills Nephrology Associates

  • Nephrology Physician
  • Greenwood, MS
National Provider Identifier
1841222437
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DELTA HILLS NEPHROLOGY ASSOCIATES
Practice address
Delta Hills Nephrology Associates
609 Tallahatchie Street
Greenwood, MS 38930
Phone
(662) 453-5208
Fax
(662) 453-7367
NPI assigned
Jul 6, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Allison Randall White, M.D.NPI 1760559751
Title
Director
Phone
(662) 453-5208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

Delta Hills Nephrology Associates
609 Tallahatchie Street
Greenwood, MS 38930

Mailing address

609 Tallahatchie St
Greenwood, MS 38930-2005
Phone (662) 453-5208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000819 MS Part B Supplier - Clinic/Group Practice 0941248579 Receives reassigned benefits from 5 practitioners
Practice locations: Cleveland, MS; Lexington, MS; Indianola, MS; Grenada, MS; Greenwood, MS

National Provider Directory

National Provider Directory

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1841222437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TALLAHATCHIE ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302005",
            "telephone_number": "662-453-5208",
            "fax_number": "662-453-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELTA HILLS NEPHROLOGY ASSOCIATES",
            "address_2": "609 TALLAHATCHIE STREET",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-453-5208",
            "fax_number": "662-453-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HILLS NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-453-5208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "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 Apr 23, 2008; 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.