DELTA CLINICS, PLC
NPI 1396033379
Internal Medicine - Cardiovascular Disease in Lexington, TN

Active since July 12, 2011CLIA Certified · 3 labs
9486 HIGHWAY 412 W, LEXINGTON, TN 38351(731) 968-0984(731) 668-7388 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Feb 25, 2025, Oct 30, 2023 and 1 more (4 updates tracked since 2016).

About Delta Clinics, Plc NPPES

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

DELTA CLINICS, PLC (NPI 1396033379), doing business as Heart & Vascular Center Of West Tn, is a healthcare organization registered as a cardiovascular disease in Lexington, Tennessee and active in the NPI registry since July 2011. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Meagan Hardison, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396033379
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDELTA CLINICS, PLC
Location Address9486 HIGHWAY 412 WLexington, TN 38351-5713
Mailing Address17 Centre Plaza DrJackson, TN 38305-2862 · (731) 512-0104 · Fax (731) 668-7388
Fax(731) 668-7388
Organization SubpartNo
Authorized OfficialMeagan HardisonPractice Manager · (731) 512-0104
Enumeration DateJuly 12, 2011
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1396033379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9486 HIGHWAY 412 W, Lexington, TN 38351

Other Names 1

Doing Business AsHeart & Vascular Center Of West Tn

Secondary Practice Locations 3

Location 117 Centre Plaza DrJackson, TN 38305-2862 · Phone (731) 512-0104 · Fax (731) 668-7388
Location 2350 E Parkview StDyersburg, TN 38024-3122 · Phone (731) 334-5312 · Fax (731) 334-5311
Location 3205 Hospital DrMc Kenzie, TN 38201-1649 · Phone (731) 512-0104 · Fax (731) 668-7388

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

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

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Delta Clinics, Plc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Cardiovascular Disease (Cardiology)6
Internal Medicine1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1740551613
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1043814304
620 SKYLINE DR
Jackson, TN 38301
(731) 541-5000
✔ PECOS✔ Accepts Medicare22 mi
Cardiovascular Disease (Cardiology)
NPI 1497076327
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1801475793
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1235318056
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1306885447
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1770880171
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1699708008
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1205000296
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1790907418
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Cardiovascular Disease (Cardiology)
NPI 1730133448
17 CENTRE PLAZA DR
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1306878202
17 CENTRE PLAZA DRIVE
Jackson, TN 38305
(731) 512-0104
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1063160489
145 INNOVATION DR
Jackson, TN 38305
(731) 422-0213
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1265677686
350 E PARKVIEW ST
Dyersburg, TN 38024
(731) 334-5312
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1942603170
350 E PARKVIEW ST
Dyersburg, TN 38024
(731) 334-5312
✔ PECOS✔ Accepts Medicare58 mi

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 3

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 44D1056342

Delta Clinics, Plc Dba Heart & Vascular Center Of West Tn · Dyersburg, TN
Active · expires Jul 12, 2028
CLIA Number44D1056342
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorSimon Okewole
Laboratory Phone(731) 334-5312
Laboratory LocationDelta Clinics, Plc Dba Heart & Vascular Center Of West Tn350 E Parkview Street, Dyersburg, TN 38024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1044475

Delta Clinics, Plc Dba Heart And Vascular Center Of West Tennessee · Jackson, TN
Active · expires Apr 7, 2027
CLIA Number44D1044475
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorDr. Simon O. Okewole
Laboratory Phone(731) 512-0104
Laboratory LocationDelta Clinics, Plc Dba Heart And Vascular Center Of West Tennessee17 Centre Plaza Dr, Jackson, TN 38305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D0958448

Delta Clinics, Plc Dba Heart And Vascular Center Of West Tennessee · Lexington, TN
Active · expires Mar 26, 2027
CLIA Number44D0958448
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Simon Okewole
Laboratory Phone(731) 968-0984
Laboratory LocationDelta Clinics, Plc Dba Heart And Vascular Center Of West Tennessee9486 Hwy 412 West, Suite A, Lexington, TN 38351
CLIA data matches this NPI record on: Address 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 Clinics, Plc's NPI number?

The NPI number for Delta Clinics, Plc is 1396033379. It was assigned to this organization in the NPPES registry on July 12, 2011. The provider is doing business as Heart & Vascular Center of West TN.

Where is Delta Clinics, Plc located?

Delta Clinics, Plc is located at 9486 Highway 412 W, Lexington, TN 38351. The listed phone number is (731) 968-0984.

What is Delta Clinics, Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Delta Clinics, Plc enrolled in Medicare?

Yes. Delta Clinics, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Clinics, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Delta Clinics, Plc. 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 (8), Cardiovascular Disease (Cardiology) (6) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Delta Clinics, Plc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Delta Clinics, Plc was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.