DELTA NEUROLOGY CLINIC, PLLC
NPI 1255580049
Clinic/Center - Medical Specialty in Clarksdale, MS

Active since September 16, 2008
785 OHIO AVE, SUITE 2C, CLARKSDALE, MS 38614(662) 627-2544(662) 627-2052 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Delta Neurology Clinic, Pllc NPPES

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

DELTA NEUROLOGY CLINIC, PLLC (NPI 1255580049) is a healthcare organization registered as a medical specialty in Clarksdale, Mississippi and active in the NPI registry since September 2008. The organization lists M Faseeh Hadidi, Owner, as its authorized official.

NPPES Registry Identity

NPI1255580049
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDELTA NEUROLOGY CLINIC, PLLC
Location Address785 OHIO AVE, SUITE 2CClarksdale, MS 38614-6217
Mailing Address785 Ohio Ave, Suite 2cClarksdale, MS 38614-6217 · (662) 627-2544 · Fax (662) 627-2052
Fax(662) 627-2052
Organization SubpartNo
Authorized OfficialM Faseeh HadidiOwner · (662) 627-2544
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJanuary 6, 2014
✔ NPI 1255580049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MS · 17427
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
785 OHIO AVE, Clarksdale, MS 38614

Other Identifiers 3

Medicaid154530001AR
Medicaid00124811MS
Medicare UPIN13000243MS

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delta Neurology Clinic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1164460101
785 OHIO AVE SUITE 2C
Clarksdale, MS 38614
(662) 627-2544
✔ PECOS✔ Accepts MedicareSame address

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 Neurology Clinic, PLLC's NPI number?

The NPI number for Delta Neurology Clinic, PLLC is 1255580049. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Delta Neurology Clinic, PLLC located?

Delta Neurology Clinic, PLLC is located at 785 Ohio Ave Suite 2C, Clarksdale, MS 38614. The listed phone number is (662) 627-2544.

What is Delta Neurology Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Delta Neurology Clinic, PLLC enrolled in Medicare?

Yes. Delta Neurology Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Neurology Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Delta Neurology Clinic, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Delta Neurology Clinic, PLLC 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 Neurology Clinic, PLLC 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 Neurology Clinic, PLLC was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.