DELTA SPECIALTY CLINIC PC
NPI 1043564735
Clinic/Center - Medical Specialty in Greenville, MS

Active since November 01, 2012
930 MAIN ST, GREENVILLE, MS 38701(662) 332-8848(662) 332-8854 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Delta Specialty Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA SPECIALTY CLINIC PC (NPI 1043564735) is a healthcare organization registered as a medical specialty in Greenville, Mississippi and active in the NPI registry since November 2012. The organization lists Katherine Colbert, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043564735
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDELTA SPECIALTY CLINIC PC
Location Address930 MAIN STGreenville, MS 38701-4111
Mailing AddressPo Box 4577Greenville, MS 38704-4577 · (662) 332-8848 · Fax (662) 332-8854
Fax(662) 332-8854
Organization SubpartNo
Authorized OfficialKatherine ColbertAdministrator · (662) 332-8848
Enumeration DateNovember 1, 2012
Last NPPES UpdateNovember 7, 2012
✔ NPI 1043564735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MS · 18512
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
930 MAIN ST, Greenville, MS 38701

Other Identifiers 1

Medicaid05828295MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delta Specialty Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delta Specialty Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1295770709
344 ARNOLD AVE
Greenville, MS 38701
(662) 725-6730
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delta Specialty Clinic PC's NPI number?

The NPI number for Delta Specialty Clinic PC is 1043564735. It was assigned to this organization in the NPPES registry on November 1, 2012.

Where is Delta Specialty Clinic PC located?

Delta Specialty Clinic PC is located at 930 Main St, Greenville, MS 38701. The listed phone number is (662) 332-8848.

What is Delta Specialty Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Delta Specialty Clinic PC enrolled in Medicare?

Yes. Delta Specialty Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Specialty Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Delta Specialty Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Delta Specialty Clinic PC accept?

Health plans from Molina Healthcare list Delta Specialty Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delta Specialty Clinic PC was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.