DELTA PHYSICIAN PRACTICES (NPI# 1891814802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891814802 |
Entity Type | Organization |
Organization Name | DELTA PHYSICIAN PRACTICES |
Practice Address |
302 Arnold Ave Greenville MS 38701-4711 |
Mailing Address |
Po Box 23998 Jackson MS 39225-3998 |
Practice Telephone | 6623358919 |
Practice Fax Number | 6623352091 |
Mailing Telephone | 6627252749 |
Mailing Fax Number | 6627252741 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2008-07-02 |
Authorized Official Name | LELAND RAY HUMPHREYS (CEO) |
Authorized Official Telephone | 6623783783 |
Is Organization Subpart | Y |
Parent Organization Name | DELTA PHSICIAN PRACTICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 156272002 | 05 | |
MS | 09015100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
1598038184 | Delta Physician Practices | Obstetrics & Gynecology | 129 E Starling St, Greenville, MS 38701-4725 | 2012-02-14 |
1598086639 | Delta Physician Practices | Nurse Practitioner | 930 Main St, Greenville, MS 38701-4111 | 2010-06-11 |
1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
1235258252 | Delta Physician Practices | Pediatrics | 526 Fairview Ave, Greenville, MS 38701-5401 | 2007-03-29 |
1811016827 | Delta Physician Practices | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2007-03-29 |
1790804714 | Delta Physician Practices | Pediatrics | 227 E Starling St, Greenville, MS 38701-4772 | 2007-03-29 |
1518086537 | Delta Physician Practices | Family Medicine | 1727 E Union St, Greenville, MS 38703-3253 | 2007-03-29 |
1417076431 | Delta Physician Practices | Emergency Medicine | 1400 E Union St, Greenville, MS 38703-3246 | 2007-03-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DELTA PHYSICIAN PRACTICES | 1693 Fairground Rd, Greenville, MS 38703-7810 |
Street Address |
302 ARNOLD AVE |
City | GREENVILLE |
State | MS |
Zip Code | 38701-4711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417132689 | Lakeisha White Richardson | Obstetrics & Gynecology | 302 Arnold Ave, Greenville, MS 38701-4711 | 2008-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
Find all providers in zip 38701 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
1073872594 | Brianna Whittemore | Obstetrics & Gynecology | 777 Lowndes Hill Rd, Greenville, SC 29607-2101 | 2012-05-04 |
1952692857 | Oussama Ahmad Saleh | Obstetrics & Gynecology | 1025 Spring Forest Rd, E6, Greenville, NC 27834-4986 | 2011-04-26 |
1184939670 | Samata Mcclure | Obstetrics & Gynecology | 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 | 2010-08-09 |
1528379054 | Rebecca Cori Rinko | Obstetrics & Gynecology | Bon Secours Urogynecology, 2 Innovation Drive, Ste 180, Greenville, SC 29607-5265 | 2010-06-30 |
1083940084 | Laurel Center for Women, LLC | Obstetrics & Gynecology | 10 Enterprise Blvd Ste 210, Greenville, SC 29615-3554 | 2009-10-26 |
1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
1588824916 | Edgar Smith Douglas II | Obstetrics & Gynecology | 204 Hampton Cir, Greenville, NC 27858-8936 | 2008-06-10 |
1689849119 | Jack A Mcneil | Obstetrics & Gynecology | 6 Orchard Pl, Greenville, MS 38701-8045 | 2008-04-25 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38701 |
Please comment or provide details below to improve the information on DELTA PHYSICIAN PRACTICES.
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.