DELTA MEDICAL GROUP
NPI 1790701134
Emergency Medicine in Greenville, MS
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
Specialties & Licenses 15
Other Identifiers 2
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 Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
123Medicare enrollment records show 123 clinicians reassign Medicare billing to Delta Medical Group, which bills Medicare for the services they deliver. Of these, 46 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 123Source: 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 25D0971010
Delta Medical Group, Mid-South Clinic · Greenville, 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 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.
Is Delta Medical Group enrolled in Medicare?
Yes. Delta Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 23 Medicare specialties reassign their Medicare billing to Delta Medical Group. 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 (42), Emergency Medicine (21) and Family Practice (13). Of these, 46 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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.
# Delta Medical Group · NPI 1790701134
Emergency Medicine organization in Greenville, Mississippi. Organization record, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1790701134 (Entity type: Organization)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Iris Stacker, CEO
## Practice location
- **Address:** 1693 FAIRGROUNDS RD, Greenville, MS 38703-7810
- **Phone:** (662) 725-2749 · **Fax:** (662) 725-2741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 123 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Emergency Medicine (21), Family Practice (13); 46 practice within 10 miles; [full list](https://npiprofile.com/npi/1790701134/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2022
- **Other identifiers:** Medicaid 156272002 (AR); Medicaid 09015100 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790701134) · Data from the CMS NPPES public registry.