DELTA KIDNEY ALLIANCE LLC
NPI 1992276851
Internal Medicine - Nephrology in Greenville, MS
NPI Status: Active since December 17, 2018
Contact Information
1997 N MEDICAL PARK DR
GREENVILLE, MS
ZIP 38703
Phone: (662) 335-4105
Fax: (662) 378-2879
- Organization
- Internal Medicine
- Nephrology
- Accepts Insurance
- CLIA Number: 25D0316717
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-15-2026
About DELTA KIDNEY ALLIANCE LLC
This page provides the complete NPI Profile along with additional information for Delta Kidney Alliance Llc, an internist established in Greenville, Mississippi operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1992276851 assigned on December 2018. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lisa Hearn (Practice Manager)
- NPI
- 1992276851
- Provider Name
- DELTA KIDNEY ALLIANCE LLC
- Entity Type
- Organization
- Location Address
- 1997 N MEDICAL PARK DR GREENVILLE, MS 38703
- Location Phone
- (662) 335-4105
- Location Fax
- (662) 378-2879
- Mailing Address
- 1997 MEDICAL PARK DR GREENVILLE, MS 38703
- Mailing Phone
- (662) 335-4105
- Mailing Fax
- (662) 378-2879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-17-2018
- Last Update Date
- 09-14-2020
- Code Navigator
An internist like Delta Kidney Alliance Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 220 N Pearman Ave
Cleveland, MS 38732
(662) 335-4105 - 20019 Highway 61
Rolling Fork, MS 39159
(662) 335-4105 - 2729 S Highway 65 82
Lake Village, AR 71653
(662) 335-4105
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0316717
- Facility Type
- Physician Office
- Certificate Effective Date
- June 16, 2024
- Certificate Expiration Date
- June 15, 2026
- Laboratory Director
- DR. WILSON M. PARRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Delta Kidney Alliance Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 2 | 7 | 6 | 8 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 4 | 7 | 12 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 4 + 7 + 1 + 2 + 8 + 1 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1992276851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992276851, enumerated as an "organization" on December 17, 2018.
The provider is located at 1997 N MEDICAL PARK DR GREENVILLE, MS 38703 and the phone number is (662) 335-4105.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
