DELTA HEALTH-GREENVILLE MEDICAL GROUP
NPI 1174642144
Internal Medicine - Gastroenterology in Greenville, MS

Q: What is Delta Physician Practices's NPI number?

The NPI number for Delta Physician Practices is 1174642144. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is also known as Delta Health-Greenville Medical Group.

Q: What is Delta Physician Practices's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since March 28, 2007

1502 S COLORADO ST, GREENVILLE, MS 38703(662) 332-9872 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Delta Health-greenville Medical Group NPPES

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

DELTA HEALTH-GREENVILLE MEDICAL GROUP (NPI 1174642144) is a healthcare organization registered as a gastroenterology in Greenville, Mississippi and active in the NPI registry since March 2007. The organization lists Iris Stacker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174642144

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameDELTA PHYSICIAN PRACTICES

Location Address1502 S COLORADO STGreenville, MS 38703-7219

Mailing AddressPo Box 23998Jackson, MS 39225-3998 · (662) 725-2749 · Fax (662) 725-2741

Phone(662) 332-9872

Organization SubpartYes

Authorized OfficialIris StackerCeo · (662) 725-2264

Enumeration DateMarch 28, 2007

Last NPPES UpdateNovember 4, 2022

NPPES CertifiedNovember 4, 2022

✔ NPI 1174642144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedNurse PractitionerTaxonomy 363L00000X

1502 S COLORADO ST, Greenville, MS 38703

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Other Names 1

Other NameDelta Health-greenville Medical Group

Other Identifiers 2

Medicaid156272002AR

Medicaid09015100MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

THE GREENVILLE CLINIC

Clinic/Center (Multi-Specialty)