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DELTA GASTROENTEROLOGY P.C.
NPI 1285789677
Specialist in Southaven, MS

Active since January 24, 2007CLIA 25D0953294 · Waiver
9140 HIGHWAY 51 N, SOUTHAVEN, MS 38671(662) 280-8222(662) 280-5541 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Delta Gastroenterology P.c. NPPES

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

DELTA GASTROENTEROLOGY P.C. (NPI 1285789677) is a healthcare organization registered as a specialist in Southaven, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Ulric Duncan, Gastroenterologist, as its authorized official.

NPPES Registry Identity

NPI1285789677
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDELTA GASTROENTEROLOGY P.C.
Location Address9140 HIGHWAY 51 NSouthaven, MS 38671-1233
Mailing Address9140 Highway 51 NSouthaven, MS 38671-1233 · (662) 280-8222 · Fax (662) 280-5541
Phone(662) 280-8222
Fax(662) 280-5541
Organization SubpartNo
Authorized OfficialUlric DuncanGastroenterologist · (662) 280-8222
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1285789677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9140 HIGHWAY 51 N, Southaven, MS 38671
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Other Identifiers 7

Other3000117TN · Tlc
Other3050626TN · Tenncare Select
Medicaid3729898TN
Medicare PIN3729898TN
Other3050626TN · Bluecross Blueshield
Medicare UPINF96919MS
Medicare PINC02805MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D0953294

Delta Gastroenterology · Southaven, MS
Active · expires Jan 30, 2027
CLIA Number25D0953294
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorUlric D. Duncan
Laboratory Phone(662) 280-8222
Laboratory LocationDelta Gastroenterology9140 Hwy 51 North, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MARY GRANT FNP
Nurse Practitioner (Family)
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
NIKARA KILPATRICK P.A.
Physician Assistant
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
MS. STEPHANIE J DURDEN ARNP
Nurse Practitioner (Family)
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 228-8222
DR. NABEEL HASAN KHAN M.D.
Internal Medicine (Gastroenterology)
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
AHP OF SOUTHAVEN, INC
Anesthesiology
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
ULRIC DAVE DUNCAN M.D.
Specialist
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
DELTA ENDOSCOPY CENTER, P.C.
Clinic/Center (Ambulatory Surgical)
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222
BRIAN DOUGLAS HAAK CRNA
Nurse Anesthetist, Certified Registered
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671
Desoto County (662) 280-8222

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 Gastroenterology P.C.'s NPI number?

The NPI number for Delta Gastroenterology P.C. is 1285789677. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Delta Gastroenterology P.C. located?

Delta Gastroenterology P.C. is located at 9140 Highway 51 N, Southaven, MS 38671. The listed phone number is (662) 280-8222.

What is Delta Gastroenterology P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Delta Gastroenterology P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0953294) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Gastroenterology P.C. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Delta Gastroenterology P.C. 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 Gastroenterology P.C. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.