DELTA PHYSICIAN PRACTICES NPI 1174642144

NPI Information

  • NPI: 1174642144
  • Provider Name: DELTA PHYSICIAN PRACTICES
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Other Name: DELTA HEALTH-GREENVILLE MEDICAL GROUP
  • Address: 1502 S COLORADO ST
    GREENVILLE, MS
    ZIP 38703
  • Phone: (662) 332-9872

Map and Directions

Get Directions

NPI Details

DELTA PHYSICIAN PRACTICES is a gastroenterology internal medicine in Greenville, MS. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DELTA PHYSICIAN PRACTICES NPI is 1174642144. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Delta Health-greenville Medical Group.

The provider's business location address is:

1502 S COLORADO ST
GREENVILLE, MS
ZIP 38703-219
Phone: (662) 332-9872

The provider's authorized official is Iris Stacker .
The authorized official title is Ceo and has the following contact phone number (662) 725-2264.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156272002MEDICAIDARKANSAS
209015100MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI