DELTA HEALTH SYSTEM
NPI 1083764542
Clinic/Center in Greenville, MS

Active since January 10, 2007CLIA 25D0316753 · Certificate of Compliance
1400 E UNION ST, GREENVILLE, MS 38703(662) 378-3783(662) 725-2289 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Oct 17, 2022, Apr 15, 2021 and 3 more (6 updates tracked since 2020).

About Delta Health System NPPES

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

DELTA HEALTH SYSTEM (NPI 1083764542), doing business as Delta Health Provider Based Clinics, is a healthcare organization registered as a clinic/center in Greenville, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2028 and lists Iris Y. Stacker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083764542
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDELTA HEALTH SYSTEM
Location Address1400 E UNION STGreenville, MS 38703-3246
Mailing AddressPo Box 5247Greenville, MS 38704-5247 · (662) 378-3783 · Fax (662) 725-2289
Fax(662) 725-2289
Organization SubpartNo
Authorized OfficialIris Y. StackerCeo · (662) 725-2099
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 12, 20266 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1083764542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedClinic/Center · OncologyTaxonomy 261QX0200X
1400 E UNION ST, Greenville, MS 38703

Other Names 1

Doing Business AsDelta Health Provider Based Clinics

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 Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Delta Health System, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Radiation Oncology
NPI 1699777854
1514 E UNION ST
Greenville, MS 38703
(662) 332-6150
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1922072891
1514 E UNION ST
Greenville, MS 38703
(662) 334-6394
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1972577930
581 MEDICAL DR
Clarksdale, MS 38614
(662) 627-7163
✔ PECOS✔ Accepts Medicare62 mi
Radiation Oncology
NPI 1558422576
4 CLUB DRIVE
Natchez, MS 39120
(601) 597-7899
✔ PECOS✔ Accepts Medicare136 mi
Hematology/Oncology
NPI 1285637314
605B MEDICAL CENTER DR
Alexandria, LA 71301
(318) 442-2232
✔ PECOS✔ Accepts Medicare167 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0316753

Delta Health System - The Medical Center · Greenville, MS
Active · expires Aug 20, 2028
CLIA Number25D0316753
Laboratory TypeHospital
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorDr. Eric L. Reimund
Laboratory Phone(662) 334-2109
Laboratory LocationDelta Health System - The Medical Center1400 East Union St - Laboratory, Greenville, MS 38703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Health System's NPI number?

The NPI number for Delta Health System is 1083764542. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as Delta Health Provider Based Clinics.

Where is Delta Health System located?

Delta Health System is located at 1400 E Union St, Greenville, MS 38703. The listed phone number is (662) 378-3783.

What is Delta Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Delta Health System enrolled in Medicare?

Yes. Delta Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Delta Health System. 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. The largest specialties are Hematology/Oncology (3) and Radiation Oncology (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Delta Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0316753) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Health System accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Delta Health System 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 Health System was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.