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DELTA KIDNEY ALLIANCE LLC
NPI 1992276851
Internal Medicine - Nephrology in Greenville, MS

Active since December 17, 2018
1997 N MEDICAL PARK DR, GREENVILLE, MS 38703(662) 335-4105(662) 378-2879 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Oct 9, 2019, Jul 16, 2019 and 1 more (4 updates tracked since 2018).

About Delta Kidney Alliance Llc NPPES

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

DELTA KIDNEY ALLIANCE LLC (NPI 1992276851) is a healthcare organization registered as a nephrology in Greenville, Mississippi and active in the NPI registry since December 2018. The organization maintains 3 additional practice locations and lists Lisa Hearn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1992276851
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDELTA KIDNEY ALLIANCE LLC
Location Address1997 N MEDICAL PARK DRGreenville, MS 38703-7268
Mailing Address1997 Medical Park DrGreenville, MS 38703-7268 · (662) 335-4105 · Fax (662) 378-2879
Phone(662) 335-4105
Fax(662) 378-2879
Organization SubpartNo
Authorized OfficialLisa HearnPractice Manager · (662) 335-4105
Enumeration DateDecember 17, 2018
Last NPPES UpdateSeptember 14, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1992276851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1997 N MEDICAL PARK DR, Greenville, MS 38703
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Secondary Practice Locations 3

Location 1220 N Pearman AveCleveland, MS 38732-2634 · Phone (662) 335-4105 · Fax (662) 378-2879
Location 220019 Highway 61Rolling Fork, MS 39159-5204 · Phone (662) 335-4105 · Fax (662) 378-2879
Location 32729 S Highway 65 82Lake Village, AR 71653-6136 · Phone (662) 335-4105 · Fax (662) 378-2879

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 ›

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 Kidney Alliance LLC's NPI number?

The NPI number for Delta Kidney Alliance LLC is 1992276851. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Delta Kidney Alliance LLC located?

Delta Kidney Alliance LLC is located at 1997 N Medical Park Dr, Greenville, MS 38703. The listed phone number is (662) 335-4105.

What is Delta Kidney Alliance LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Delta Kidney Alliance LLC 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 Kidney Alliance LLC 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 Kidney Alliance LLC was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.