Delta Kidney Alliance LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DELTA KIDNEY ALLIANCE LLC

Practice address

1502 S Colorado St
Greenville, MS 38703-7219

Phone

(662) 335-4105

Fax

(662) 378-2879

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leathe Greenlee

Title

Manager

Phone

(662) 335-4105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1942114368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-335-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-335-4105",
            "fax_number": "662-378-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA KIDNEY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "LEATHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-335-4105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Health System (Delta Health-The Medical Center)
• Delta Health System (Delta Health-The Medical Center)
• Delta Health System (Delta Health-The Medical Center)
• Delta Hearing Services
• Delta Heart & Vascular Center, P.a.
• Delta Kidney Alliance LLC
• Delta Medical Group
• Delta Pediatric Care
• Delta Pediatric Dental
• Delta Physician Practices

• Non-Pharmacy Dispensing Site in Greenville, MS
• Providers in Greenville, MS by specialty
• Non-Pharmacy Dispensing Site in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.