DELTA GASTROENTEROLOGY P.C.
NPI 1285789677
Specialist in Southaven, MS
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
Specialties & Licenses
Other Identifiers 7
Group Practice 1
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 Gastroenterology P.c. 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 Gastroenterology P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D0953294
Delta Gastroenterology · Southaven, MSFrequently 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.
Is Delta Gastroenterology P.C. enrolled in Medicare?
Yes. Delta Gastroenterology P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Gastroenterology P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Delta Gastroenterology P.C.. 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.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.
# Delta Gastroenterology P.c. · NPI 1285789677
Specialist organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1285789677 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Ulric Duncan, GASTROENTEROLOGIST
## Practice location
- **Address:** 9140 HIGHWAY 51 N, Southaven, MS 38671-1233
- **Phone:** (662) 280-8222 · **Fax:** (662) 280-5541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Other 3000117 (TN); Other 3050626 (TN); Medicaid 3729898 (TN); and 4 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1285789677) · Data from the CMS NPPES public registry.