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DELTA HEART & VASCULAR CENTER, P.A.
NPI 1174506281
Clinic/Center - Health Service in Greenville, MS

Active since November 22, 2005
1421 E UNION ST, GREENVILLE, MS 38703(662) 335-0183(662) 335-7184 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2021, Aug 21, 2020 (2 updates tracked since 2020).

About Delta Heart & Vascular Center, P.a. NPPES

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

DELTA HEART & VASCULAR CENTER, P.A. (NPI 1174506281) is a healthcare organization registered as a health service in Greenville, Mississippi and active in the NPI registry since November 2005. The organization lists John L Herzog, Ceo/md, as its authorized official.

NPPES Registry Identity

NPI1174506281
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameDELTA HEART & VASCULAR CENTER, P.A.
Location Address1421 E UNION STGreenville, MS 38703-3247
Mailing Address1421 E Union StGreenville, MS 38703-3247 · (662) 335-0183 · Fax (662) 335-7184
Phone(662) 335-0183
Fax(662) 335-7184
Organization SubpartNo
Authorized OfficialJohn L HerzogCeo/md · (662) 335-0183
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1174506281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1421 E UNION ST, Greenville, MS 38703
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Other Identifiers 3

Medicaid9016026MS
Medicaid190990002AR
OtherDA3016MS · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 Heart & Vascular Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Delta Heart & Vascular Center, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

John Herzog, MD
Cardiovascular Disease (Cardiology)
NPI 1093734949
1421 E UNION ST
Greenville, MS 38703
(662) 335-0183
✔ PECOSSame address
Casey Nelson, FNP-C
Nurse Practitioner
NPI 1477135267
984 WINGFIELD RD
Glen Allan, MS 38744
(662) 822-4419
✔ PECOS✔ Accepts Medicare28 mi
Dawn Peery, NP-C
Nurse Practitioner
NPI 1871844498
215 KATHERINE DR STE A
Flowood, MS 39232
(601) 665-4162
✔ PECOS✔ Accepts Medicare92 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 Heart & Vascular Center, P.A.'s NPI number?

The NPI number for Delta Heart & Vascular Center, P.A. is 1174506281. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Delta Heart & Vascular Center, P.A. located?

Delta Heart & Vascular Center, P.A. is located at 1421 E Union St, Greenville, MS 38703. The listed phone number is (662) 335-0183.

What is Delta Heart & Vascular Center, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Delta Heart & Vascular Center, P.A. enrolled in Medicare?

Yes. Delta Heart & Vascular Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Heart & Vascular Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Delta Heart & Vascular Center, P.A., in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Delta Heart & Vascular Center, P.A. accept?

Health plans from Molina Healthcare list Delta Heart & Vascular Center, P.A. 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 Heart & Vascular Center, P.A. was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.