DELTA MEDICAL WEIGHT MANAGEMENT INC (NPI# 1871731182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871731182 |
| Entity Type | Organization |
| Organization Name | DELTA MEDICAL WEIGHT MANAGEMENT INC |
| Practice Address |
9215 Millbranch Rd Southaven MS 38671-1423 |
| Practice Telephone | 6622808222 |
| Practice Fax Number | 6622804845 |
| Mailing Telephone | 6622808222 |
| Mailing Fax Number | 6625488054 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | ULRIC D DUNCAN (OWNER) |
| Authorized Official Telephone | 9012808222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
9215 MILLBRANCH RD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790733731 | Ahp of Mississippi, Inc. | Nurse Anesthetist, Certified Registered | 9215 Millbranch Rd, Southaven, MS 38671-1423 | 2006-05-04 |
| 1518268705 | Lexann Pate Bursi | Dietitian, Registered | 9215 Millbranch Rd, Southaven, MS 38671-1423 | 2010-11-04 |
| 1346558566 | Desoto Urgent Care Clinic, LLC | Clinic/Center | 9215 Millbranch Rd, Southaven, MS 38671-1423 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303010 | Northwest Health and Wellness, Inc | Clinic/Center | 215 Northwest Drive, Senatobia, MS 38668 | 2020-10-12 |
| 1538786090 | Essential Health & Wellness Clinic P.a. | Clinic/Center | 5842 Goodman Rd Ste 1, Horn Lake, MS 38637-8106 | 2020-07-01 |
| 1144841826 | Love and Care Adult Daycare and Personal Care Services | Clinic/Center | 521 Brentwood Ave, Greenwood, MS 38930-6910 | 2020-05-04 |
| 1982254389 | Lca of Ms, LLC | Clinic/Center | 6098 U S Highway 98 Ste 4, Hattiesburg, MS 39402-8878 | 2019-09-17 |
| 1841849791 | Ayanna Hawkins | Clinic/Center | 1294 White Oak Rd, Tunica, MS 38676-9743 | 2019-09-04 |
| 1003463928 | Np Professional Services, LLC | Clinic/Center | 17 Church Cv, Beulah, MS 38726-9430 | 2019-08-26 |
| 1760035232 | Mcmedical Country Clinic LLC | Clinic/Center | 52 County Road 74, Mc Carley, MS 38943-6820 | 2019-07-23 |
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1831672435 | Healthcareonthego, LLC | Clinic/Center | 3901 King Rd, Meridian, MS 39305-2533 | 2018-09-10 |
| 1568949097 | Lifespan Wellness LLC | Clinic/Center | 101 Rouselle Pl Ste A, Ocean Springs, MS 39564-3074 | 2018-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.