Delta Physician Practices
Organization Active NPI Obstetrics & Gynecology Physician · Greenville, MS
NPI 1891814802 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1891814802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- DELTA PHYSICIAN PRACTICES
- Practice address
- 302 Arnold Ave
Greenville, MS 38701-4711 - Phone
- (662) 335-8919
- Fax
- (662) 335-2091
- NPI assigned
- Mar 29, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- DELTA PHSICIAN PRACTICES
Authorized official
- Name
- Iris Stacker
- Title
- Ceo
- Phone
- (662) 378-3783
Corporate family (same tax ID) 14
Practitioners 9
-
Patricia Ann Barber, NP-C
-
Alexis Cross-Montgomery, FNP, BC
-
James Denver Perkins, M.D.
-
Richard G Saloom, MD
National Provider Directory
- Tax ID family
- Delta Regional Medical
- Part of
- Delta Regional Medical
Locations
302 Arnold Ave
Greenville, MS 38701
Phone (662) 335-2093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X |
Addresses
Primary practice location
302 Arnold Ave
Greenville, MS 38701-4711
Mailing address
PO Box 23998
Jackson, MS 39225-3998
Phone (662) 725-2749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156272002 | Medicaid | AR | |
| 09015100 | Medicaid | MS |
Other providers in Greenville, MS
- Delta Physician Practices
- Delta Physician Practices
- Delta Physician Practices
- Delta Physician Practices
- Delta Physician Practices
- Delta Regional Anesthesiology Group
- Delta Regional Medical Center
- Delta Regional Medical Center Ambulance Service
- Delta Regional Medical Center-West Campus
- Delta Specialty Clinic PC
All providers in Greenville, MS · Obstetrics & Gynecology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.