DELTA MEDICAL GROUP
NPI 1790701134
Emergency Medicine in Greenville, MS

Q: What is Delta Medical Group's NPI number?

The NPI number for Delta Medical Group is 1790701134. It was assigned to this organization in the NPPES registry on July 15, 2006.

Q: What is Delta Medical Group's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 15, 2006CLIA 25D0971010 · Waiver

1693 FAIRGROUNDS RD, GREENVILLE, MS 38703(662) 725-2749(662) 725-2741 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Delta Medical Group NPPES

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

DELTA MEDICAL GROUP (NPI 1790701134) is a healthcare organization registered as an emergency medicine in Greenville, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Iris Stacker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790701134

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameDELTA MEDICAL GROUP

Location Address1693 FAIRGROUNDS RDGreenville, MS 38703-7810

Mailing AddressPo Box 1734Greenville, MS 38702-1734 · (662) 725-2749 · Fax (662) 725-2741

Phone(662) 725-2749

Fax(662) 725-2741

Organization SubpartNo

Authorized OfficialIris StackerCeo · (662) 378-3783

Enumeration DateJuly 15, 2006

Last NPPES UpdateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1790701134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1693 FAIRGROUNDS RD, Greenville, MS 38703

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Other Identifiers 2

Medicaid156272002AR

Medicaid09015100MS

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

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 25D0971010

Delta Medical Group, Mid-South Clinic · Greenville, MS

Active · expires May 19, 2027

CLIA Number25D0971010

Laboratory TypePhysician Office

Certificate Effective DateMay 20, 2025

Certificate Expiration DateMay 19, 2027

Laboratory DirectorDr. Eric Reimund

Laboratory Phone(662) 332-8700

Laboratory LocationDelta Medical Group, Mid-South Clinic1693 South Colorado Street, Greenville, MS 38703

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DELTA HEALTH SYSTEM

Hospice Care, Community Based

1693 FAIRGROUNDS RD
GREENVILLE, MS 38703

Washington County (662) 725-1200

DELTA HEALTH SYSTEM

Home Health

1693 FAIRGROUNDS RD
GREENVILLE, MS 38703

Washington County (662) 725-1200

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 Medical Group's NPI number?

The NPI number for Delta Medical Group is 1790701134. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Delta Medical Group located?

Delta Medical Group is located at 1693 Fairgrounds Rd, Greenville, MS 38703. The listed phone number is (662) 725-2749.

What is Delta Medical Group's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Delta Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0971010) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Medical Group 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 and 1 other insurer list Delta Medical Group 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 Medical Group was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.