NPIMap

Organization Active NPI

Delta Medical Weight Management Inc

  • Health Service Clinic/Center
  • Southaven, MS
National Provider Identifier
1871731182
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DELTA MEDICAL WEIGHT MANAGEMENT INC
Practice address
9215 Millbranch Rd
Southaven, MS 38671-1423
Phone
(662) 280-8222
Fax
(662) 280-4845
NPI assigned
Jan 23, 2009
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Ulric D Duncan, MDNPI 1518908854
Title
Owner
Phone
(901) 280-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

9215 Millbranch Rd
Southaven, MS 38671-1423

Mailing address

9215 Millbranch Rd
Southaven, MS 38671-1423
Phone (662) 280-8222

National Provider Directory

National Provider Directory

Locations

1867 Forrest Dr
Southaven, MS 38671
Phone (662) 280-8075

Practitioners & affiliated clinicians

Practitioners 7

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1871731182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 MILLBRANCH RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711423",
            "telephone_number": "662-280-8222",
            "fax_number": "662-548-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 MILLBRANCH RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711423",
            "telephone_number": "662-280-8222",
            "fax_number": "662-280-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL WEIGHT MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ULRIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-280-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.