1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Nurse Practitioner
  6. NPI Profile

DELTA PHOENIX FAMILY AND AESTHETIC MEDICINE
NPI 1174309819
Nurse Practitioner - Family in Southaven, MS

Active since September 07, 2023
940 CHURCH RD W STE A2, SOUTHAVEN, MS 38671(662) 231-8436(662) 536-6640 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Nov 2, 2023, Sep 7, 2023 (3 updates tracked since 2023).

About Delta Phoenix Family And Aesthetic Medicine NPPES

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

DELTA PHOENIX FAMILY AND AESTHETIC MEDICINE (NPI 1174309819) is a healthcare organization registered as a family in Southaven, Mississippi and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Batesville and lists Monica Joy Stanford, Owner Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1174309819
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDELTA PHOENIX MEDICAL CONSULTING
Location Address940 CHURCH RD W STE A2Southaven, MS 38671-9611
Mailing Address940 Church Rd W Ste A2Southaven, MS 38671-9611 · (662) 231-8436
Phone(662) 231-8436
Fax(662) 536-6640
Organization SubpartNo
Authorized OfficialMonica Joy StanfordOwner Sole Proprietor · (662) 231-8436
Enumeration DateSeptember 7, 2023
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1174309819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
940 CHURCH RD W STE A2, Southaven, MS 38671
Open in Google Maps ↗

Other Names 1

Doing Business AsDelta Phoenix Family And Aesthetic Medicine

Secondary Practice Location 1

Location 1333 Highway 6 W Ste ABatesville, MS 38606-2558 · Phone (662) 502-5373

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MONICA JOY STANFORD FNP-C
Nurse Practitioner (Family)
940 CHURCH RD W STE A2
SOUTHAVEN, MS 38671
Desoto County (662) 231-8436

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 Phoenix Medical Consulting's NPI number?

The NPI number for Delta Phoenix Medical Consulting is 1174309819. It was assigned to this organization in the NPPES registry on September 7, 2023. The provider is doing business as Delta Phoenix Family And Aesthetic Medicine.

Where is Delta Phoenix Medical Consulting located?

Delta Phoenix Medical Consulting is located at 940 Church Rd W Ste A2, Southaven, MS 38671. The listed phone number is (662) 231-8436.

What is Delta Phoenix Medical Consulting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Delta Phoenix Medical Consulting was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.