DELTA HEALTH CENTER, INC.
NPI 1215583356
Clinic/Center - Federally Qualified Health Center (FQHC) in Indianola, MS

Active since August 14, 2019CLIA 25D2171526 · Waiver
302 COLLEGE AVE, INDIANOLA, MS 38751(662) 884-1260(662) 741-2700 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2025, Aug 14, 2019 (2 updates tracked since 2019).

About Delta Health Center, Inc. NPPES

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

DELTA HEALTH CENTER, INC. (NPI 1215583356), doing business as Dhc-lockard Elementary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Indianola, Mississippi and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Myrtis Small, Hr/credentialing, as its authorized official.

NPPES Registry Identity

NPI1215583356
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDELTA HEALTH CENTER, INC.
Location Address302 COLLEGE AVEIndianola, MS 38751-2112
Mailing AddressPo Box 900Mound Bayou, MS 38762-0900 · (662) 884-1260 · Fax (662) 741-2700
Fax(662) 741-2700
Organization SubpartNo
Authorized OfficialMyrtis SmallHr/credentialing · (662) 741-8889
Enumeration DateAugust 14, 2019
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1215583356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
302 COLLEGE AVE, Indianola, MS 38751

Other Names 1

Doing Business AsDhc-lockard Elementary School

Other Identifiers 1

Medicaid09013118MS

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

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Delta Health Center, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner15
Dentist3
Pediatric Medicine3
Certified Nurse Midwife (CNM)1
Clinical Psychologist1
Family Practice1
General Practice1
Internal Medicine1
2 other specialties2

Nearest to this location (20)

See all 28
Nurse Practitioner
NPI 1518428283
112 W PEELER AVE
Shaw, MS 38773
(662) 745-6638
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1598450082
801 N BROAD ST
Leland, MS 38756
(662) 686-0295
✔ PECOS14 mi
Physical Therapist in Private Practice
NPI 1669611745
201 BAKER BLVD
Leland, MS 38756
(662) 686-4121
15 mi
Nurse Practitioner
NPI 1891519286
103 BASKET ST
Itta Bena, MS 38941
(662) 254-7801
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1821153388
548 ROSEMARY RD
Cleveland, MS 38732
(662) 843-7373
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1437621323
205 S DELTA ST
Greenville, MS 38703
(662) 822-3150
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1457631053
1414 HOSPITAL ST
Greenville, MS 38701
(662) 335-3991
✔ PECOS✔ Accepts Medicare22 mi
Obstetrics/Gynecology
NPI 1417132689
302 ARNOLD AVE
Greenville, MS 38701
(662) 335-2093
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1922875228
DELTA HEALTH CENTER- MOUND BAYOU 702 W M.L.K. JR. DR.
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS✔ Accepts Medicare29 mi
General Practice
NPI 1285886465
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS✔ Accepts Medicare30 mi
Certified Nurse Midwife (CNM)
NPI 1154941375
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 588-8772
✔ PECOS✔ Accepts Medicare30 mi
Pediatric Medicine
NPI 1720721178
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS30 mi
Family Practice
NPI 1548671514
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS✔ Accepts Medicare30 mi
Dentist
NPI 1073609574
702 MARTIN LUTHER KING ST BLDG A
Mound Bayou, MS 38762
(662) 741-8857
✔ PECOS30 mi
Dentist
NPI 1912829292
702 MARTIN LUTHER KING ST BLDG A
Mound Bayou, MS 38762
(662) 741-8857
✔ PECOS30 mi
Pediatric Medicine
NPI 1730602806
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS30 mi
Nurse Practitioner
NPI 1942991963
702 MLK ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1023990710
702 MARTIN LUTHER KING ST
Mound Bayou, MS 38762
(662) 741-8800
✔ PECOS30 mi
Clinical Psychologist
NPI 1649759309
2363 HIGHWAY 1 S
Greenville, MS 38701
(662) 334-1253
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1841200771
239 BOWLING GREEN RD
Lexington, MS 39095
(662) 834-1321
✔ PECOS✔ Accepts Medicare43 mi
See all 28 clinicians

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 Waiver 25D2171526

Delta Health Center Lockard Elementary School · Indianola, MS
Active · expires Sep 2, 2027
CLIA Number25D2171526
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorDr. Marketta Blue
Laboratory Phone(662) 884-1260
Laboratory LocationDelta Health Center Lockard Elementary School302 College St, Indianola, MS 38751
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Center, Inc.'s NPI number?

The NPI number for Delta Health Center, Inc. is 1215583356. It was assigned to this organization in the NPPES registry on August 14, 2019. The provider is doing business as Dhc-Lockard Elementary School.

Where is Delta Health Center, Inc. located?

Delta Health Center, Inc. is located at 302 College Ave, Indianola, MS 38751. The listed phone number is (662) 884-1260.

What is Delta Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Delta Health Center, Inc. enrolled in Medicare?

Yes. Delta Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 10 Medicare specialties reassign their Medicare billing to Delta Health Center, Inc.. 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 Nurse Practitioner (15), Dentist (3) and Pediatric Medicine (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Delta Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2171526) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Delta Health Center, Inc. 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 Center, Inc. was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.