Organization Active NPI

Delta Critical Care & Lung Consultants P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Greenville, MS
National Provider Identifier
1841570645
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
20029 Issued in MS
Legal business name
DELTA CRITICAL CARE & LUNG CONSULTANTS P.C.
Practice address
537 Anne Stokes Rd
Greenville, MS 38701-6904
Phone
(662) 332-8848
Fax
(662) 332-8854
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Katherine Colbert, CPC
Title
Business Manager
Phone
(662) 332-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 20029 MS Primary

Addresses

Primary practice location

537 Anne Stokes Rd
Greenville, MS 38701-6904

Mailing address

PO Box 4577
Greenville, MS 38704-4577
Phone (662) 332-8848

Other identifiers 1

IdentifierTypeStateIssuer
01905575MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1841570645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044577",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 ANNE STOKES RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016904",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CRITICAL CARE & LUNG CONSULTANTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "662-332-8848",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MS",
            "license": "20029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01905575",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.