| Delta Medical Group | |
|
1693 Fairgrounds Rd Greenville MS 38703-7810 | |
| (662) 725-2749 | |
| (662) 725-2741 |
| Full Name | Delta Medical Group |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1693 Fairgrounds Rd, Greenville, Mississippi |
| Authorized Official Name and Position | Iris Stacker (CEO) |
| Authorized Official Contact | 6623783783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Medical Group Po Box 1734 Greenville MS 38702-1734 Ph: (662) 725-2749 | Delta Medical Group 1693 Fairgrounds Rd Greenville MS 38703-7810 Ph: (662) 725-2749 |
| NPI Number | 1790701134 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 11/14/2022 |
| Medicare PECOS PAC ID | 6608775531 |
|---|---|
| Medicare Enrollment ID | O20040108000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790701134 | NPI | - | NPPES |
| 156272002 | Medicaid | AR | |
| 09015100 | Medicaid | MS |
| Provider Name | Robert L Curry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760587778 PECOS PAC ID: 6002720836 Enrollment ID: I20031117000466 |
| Provider Name | Mohamad F Hadidi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164460101 PECOS PAC ID: 2365342110 Enrollment ID: I20040109000496 |
| Provider Name | Patrick W Omara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467509331 PECOS PAC ID: 5496640260 Enrollment ID: I20040219000686 |
| Provider Name | Deirdre M Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750472643 PECOS PAC ID: 8224927785 Enrollment ID: I20040312000478 |
| Provider Name | Robert S Corkern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700962248 PECOS PAC ID: 7214840776 Enrollment ID: I20040330000968 |
| Provider Name | Michael A Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093790032 PECOS PAC ID: 6103815501 Enrollment ID: I20040511000337 |
| Provider Name | Khaled N Abu-hamdan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356482459 PECOS PAC ID: 1456341221 Enrollment ID: I20040513001254 |
| Provider Name | Parvez Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275562464 PECOS PAC ID: 9739167024 Enrollment ID: I20040713000199 |
| Provider Name | John H Bearry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285741983 PECOS PAC ID: 5991775298 Enrollment ID: I20040726001090 |
| Provider Name | Pradeep Thakare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346357092 PECOS PAC ID: 4486620192 Enrollment ID: I20040903000517 |
| Provider Name | Satwinder Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295770709 PECOS PAC ID: 3870560576 Enrollment ID: I20040913000916 |
| Provider Name | Jeffrey Ming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992859672 PECOS PAC ID: 7810964376 Enrollment ID: I20040914000540 |
| Provider Name | Geneva Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740359892 PECOS PAC ID: 9032171129 Enrollment ID: I20041101000656 |
| Provider Name | Patricia Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780604066 PECOS PAC ID: 0345202446 Enrollment ID: I20041101000814 |
| Provider Name | Ellis H Oneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407800048 PECOS PAC ID: 3577521699 Enrollment ID: I20041221000589 |
| Provider Name | Robert Brunston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265420467 PECOS PAC ID: 9335190677 Enrollment ID: I20050203000873 |
| Provider Name | Kenneth A Hahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992716732 PECOS PAC ID: 5991750747 Enrollment ID: I20050315000649 |
| Provider Name | Wayne A Dotson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184684375 PECOS PAC ID: 2163460346 Enrollment ID: I20050419000562 |
| Provider Name | Aman U Munir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356388250 PECOS PAC ID: 7517990609 Enrollment ID: I20050919000435 |
| Provider Name | Deepali R Kale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304881 PECOS PAC ID: 1759315245 Enrollment ID: I20050923000555 |
| Provider Name | Jaiyeola O Adeleye |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649213455 PECOS PAC ID: 5890712590 Enrollment ID: I20051101000925 |
| Provider Name | Eric J Zoog |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104868827 PECOS PAC ID: 0345148839 Enrollment ID: I20051101001022 |
| Provider Name | Gregg A Gober |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477565166 PECOS PAC ID: 7214955525 Enrollment ID: I20051104000557 |
| Provider Name | Barbara Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073533261 PECOS PAC ID: 9133105356 Enrollment ID: I20051230000585 |
| Provider Name | Geraldine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952339335 PECOS PAC ID: 5597774190 Enrollment ID: I20060410000489 |
| Provider Name | James C Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053390781 PECOS PAC ID: 6103840947 Enrollment ID: I20070228000544 |
| Provider Name | Brooke N Tims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477575561 PECOS PAC ID: 7719086727 Enrollment ID: I20070615000232 |
| Provider Name | Stephen J Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285760843 PECOS PAC ID: 2769582709 Enrollment ID: I20070705000357 |
| Provider Name | Felecia Preston-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538246632 PECOS PAC ID: 9931200342 Enrollment ID: I20070728000065 |
| Provider Name | Karen A Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538361027 PECOS PAC ID: 8426149543 Enrollment ID: I20070803000373 |
| Provider Name | Amy L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558555391 PECOS PAC ID: 9830287556 Enrollment ID: I20071114000249 |
| Provider Name | Jenny C Kurts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821153388 PECOS PAC ID: 5294818779 Enrollment ID: I20080206000492 |
| Provider Name | Bridget B Satterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710176961 PECOS PAC ID: 1355428467 Enrollment ID: I20080414000118 |
| Provider Name | Donna Brasier Pinion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669669446 PECOS PAC ID: 6901984582 Enrollment ID: I20080422000915 |
| Provider Name | Keith I Stokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821297961 PECOS PAC ID: 8628148780 Enrollment ID: I20080531000013 |
| Provider Name | Evelyn Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538339932 PECOS PAC ID: 2365514775 Enrollment ID: I20080630000511 |
| Provider Name | Steven C. Dewberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164402426 PECOS PAC ID: 4183797491 Enrollment ID: I20080721000167 |
| Provider Name | Muhammad Husainy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639332273 PECOS PAC ID: 4789734351 Enrollment ID: I20090603000173 |
| Provider Name | Harry G Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268786 PECOS PAC ID: 8527124239 Enrollment ID: I20090819000630 |
| Provider Name | Lakeisha Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417132689 PECOS PAC ID: 6406992015 Enrollment ID: I20091013000544 |
| Provider Name | Maroun E Hayek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922072891 PECOS PAC ID: 4688714496 Enrollment ID: I20091229000299 |
| Provider Name | Dylan E Rainwater |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063679645 PECOS PAC ID: 1759452576 Enrollment ID: I20091229000607 |
| Provider Name | June G Kimbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609024835 PECOS PAC ID: 5193868008 Enrollment ID: I20100201000368 |
| Provider Name | Betsy J Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578599395 PECOS PAC ID: 0840333969 Enrollment ID: I20100211000212 |
| Provider Name | Shabana C Karim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992903355 PECOS PAC ID: 2769526284 Enrollment ID: I20100223000028 |
| Provider Name | Marilyn D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043468234 PECOS PAC ID: 8325178452 Enrollment ID: I20100616000022 |
| Provider Name | James Beckham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174564397 PECOS PAC ID: 0345372678 Enrollment ID: I20100721000706 |
| Provider Name | Paul D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053322974 PECOS PAC ID: 8426180597 Enrollment ID: I20100726000370 |
| Provider Name | Michael Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326077058 PECOS PAC ID: 6103841754 Enrollment ID: I20101123000056 |
| Provider Name | Patricia A Mosley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124085592 PECOS PAC ID: 8426148016 Enrollment ID: I20101228000780 |
| Provider Name | John L Herzog |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093734949 PECOS PAC ID: 1355390964 Enrollment ID: I20110128000684 |
| Provider Name | Rachel M Spiers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073818449 PECOS PAC ID: 3173705951 Enrollment ID: I20110316000053 |
| Provider Name | Denton C Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164714192 PECOS PAC ID: 1456539352 Enrollment ID: I20110719000370 |
| Provider Name | Michael W Koury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326277427 PECOS PAC ID: 9931378825 Enrollment ID: I20110810000384 |
| Provider Name | Patrick B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205065810 PECOS PAC ID: 8628248754 Enrollment ID: I20110829000710 |
| Provider Name | Mtanius A Sultani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972577930 PECOS PAC ID: 3779569934 Enrollment ID: I20111213000350 |
| Provider Name | Kiyo P Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770864613 PECOS PAC ID: 0446427512 Enrollment ID: I20120113000344 |
| Provider Name | Lee R Paige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508983602 PECOS PAC ID: 1951563451 Enrollment ID: I20120430000288 |
| Provider Name | William Brozovich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134267578 PECOS PAC ID: 8325200702 Enrollment ID: I20120501000408 |
| Provider Name | Heather Nichole Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154671204 PECOS PAC ID: 7810146628 Enrollment ID: I20121010000404 |
| Provider Name | Andrea J Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093002743 PECOS PAC ID: 6204089477 Enrollment ID: I20130122000183 |
| Provider Name | Mary K Ryals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770829509 PECOS PAC ID: 8325283047 Enrollment ID: I20130401000241 |
| Provider Name | Jason R Schwanebeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750510962 PECOS PAC ID: 9234373374 Enrollment ID: I20130911000769 |
| Provider Name | Sarah Quilter Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881823417 PECOS PAC ID: 7517101165 Enrollment ID: I20130920000303 |
| Provider Name | Ammar Dulli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487874145 PECOS PAC ID: 0749380152 Enrollment ID: I20130927000274 |
| Provider Name | Hamilton Mcgee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477784643 PECOS PAC ID: 2769617836 Enrollment ID: I20131025000502 |
| Provider Name | Stacey Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763514 PECOS PAC ID: 9335375880 Enrollment ID: I20131112000644 |
| Provider Name | Neal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275761900 PECOS PAC ID: 2062677867 Enrollment ID: I20140113000366 |
| Provider Name | Denise Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649694183 PECOS PAC ID: 9537390414 Enrollment ID: I20140317001604 |
| Provider Name | Jason R Patten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104116193 PECOS PAC ID: 4880830009 Enrollment ID: I20140430001144 |
| Provider Name | Terry Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677836 PECOS PAC ID: 8325271901 Enrollment ID: I20140506001414 |
| Provider Name | Tayyab Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578756755 PECOS PAC ID: 7113145392 Enrollment ID: I20140829001493 |
| Provider Name | Crawford Reed Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598108896 PECOS PAC ID: 8123269727 Enrollment ID: I20141014001346 |
| Provider Name | John M Speca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659330090 PECOS PAC ID: 1658340609 Enrollment ID: I20150102000415 |
| Provider Name | James Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275946964 PECOS PAC ID: 6608190913 Enrollment ID: I20150115000144 |
| Provider Name | Joseph V Stock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462248 PECOS PAC ID: 7719951078 Enrollment ID: I20150313001029 |
| Provider Name | Zachary P Funk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013206416 PECOS PAC ID: 7517186380 Enrollment ID: I20151008000303 |
| Provider Name | Shannon J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881958288 PECOS PAC ID: 0143539908 Enrollment ID: I20151016001340 |
| Provider Name | Alexis Cross-montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730552787 PECOS PAC ID: 8224334420 Enrollment ID: I20160315001177 |
| Provider Name | Jesse Jonathan Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477923241 PECOS PAC ID: 8628375565 Enrollment ID: I20160321001995 |
| Provider Name | Ryan James Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447661533 PECOS PAC ID: 8820313570 Enrollment ID: I20160701000886 |
| Provider Name | Sebastian John Jacobi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396156782 PECOS PAC ID: 9931424041 Enrollment ID: I20160910000044 |
| Provider Name | Ryan Mcgaughey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770847154 PECOS PAC ID: 4284953639 Enrollment ID: I20160917000019 |
| Provider Name | Karla Marie Atchley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427047497 PECOS PAC ID: 0749382539 Enrollment ID: I20161010001266 |
| Provider Name | Patricia A Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861843690 PECOS PAC ID: 1254610983 Enrollment ID: I20161119000335 |
| Provider Name | Andrea Marquis Mccann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710328737 PECOS PAC ID: 0840516928 Enrollment ID: I20170705001454 |
| Provider Name | James Bradley Beckham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598029969 PECOS PAC ID: 4880811926 Enrollment ID: I20170908000373 |
| Provider Name | Catina Latrice Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154776573 PECOS PAC ID: 3375838097 Enrollment ID: I20170925000762 |
| Provider Name | Srikar Karanam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588034227 PECOS PAC ID: 5092074302 Enrollment ID: I20180112000736 |
| Provider Name | Corey Auerswald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717590 PECOS PAC ID: 6406115641 Enrollment ID: I20180117000508 |
| Provider Name | Paul E Abide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376544106 PECOS PAC ID: 1557571767 Enrollment ID: I20180828000338 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578945770 PECOS PAC ID: 3971818139 Enrollment ID: I20181106000580 |
| Provider Name | Paige Pittman Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982117941 PECOS PAC ID: 6002160728 Enrollment ID: I20181116000351 |
| Provider Name | Gyton B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528564143 PECOS PAC ID: 9234473430 Enrollment ID: I20181128002908 |
| Provider Name | Yakitta Landrum-lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740761956 PECOS PAC ID: 5991040073 Enrollment ID: I20181218001162 |
| Provider Name | Jigar Desai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518353705 PECOS PAC ID: 5890029383 Enrollment ID: I20190703001545 |
| Provider Name | Williemary Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518428283 PECOS PAC ID: 4587994181 Enrollment ID: I20190925000170 |
| Provider Name | Curry Austin Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053760595 PECOS PAC ID: 7719262013 Enrollment ID: I20191113002329 |
| Provider Name | Fred Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396231833 PECOS PAC ID: 5496008641 Enrollment ID: I20191126000265 |
| Provider Name | Jason R Begue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336120682 PECOS PAC ID: 8426958695 Enrollment ID: I20200103000225 |
| Provider Name | Bobby Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734972 PECOS PAC ID: 2466698253 Enrollment ID: I20200128002542 |
| Provider Name | Ryginna Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871417 PECOS PAC ID: 6507292323 Enrollment ID: I20200213002671 |
| Provider Name | Justin A Strittmatter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033198965 PECOS PAC ID: 0244205011 Enrollment ID: I20200226002324 |
| Provider Name | Brian Joseph Finnegan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366616856 PECOS PAC ID: 4486720489 Enrollment ID: I20200306001137 |
| Provider Name | Benjamin S Wilks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760772503 PECOS PAC ID: 6305070301 Enrollment ID: I20200420000254 |
| Provider Name | Jorge Blanco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679981120 PECOS PAC ID: 3779863311 Enrollment ID: I20200520003615 |
| Provider Name | Timothy B Zepponi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134659428 PECOS PAC ID: 0446521918 Enrollment ID: I20200827002012 |
| Provider Name | Michael Sand |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932552148 PECOS PAC ID: 6103110820 Enrollment ID: I20200904000319 |
| Provider Name | Patricia Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740210616 PECOS PAC ID: 8426054339 Enrollment ID: I20200908002839 |
| Provider Name | Regina J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609416544 PECOS PAC ID: 5991124562 Enrollment ID: I20200930003267 |
| Provider Name | Sara Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306450358 PECOS PAC ID: 2365854361 Enrollment ID: I20201216001382 |
| Provider Name | Alexandra Noel Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154824803 PECOS PAC ID: 3274888003 Enrollment ID: I20211111000397 |
| Provider Name | Michael S Abrahams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487098463 PECOS PAC ID: 6002118908 Enrollment ID: I20220121000668 |
| Provider Name | John Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942528518 PECOS PAC ID: 5890923361 Enrollment ID: I20220517000845 |
| Provider Name | Casey Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477135267 PECOS PAC ID: 3678951415 Enrollment ID: I20220607000541 |
| Provider Name | Anna Mauceli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679219588 PECOS PAC ID: 2961878400 Enrollment ID: I20221025000583 |
| Provider Name | Kristin Delahoussaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612466 PECOS PAC ID: 5193197093 Enrollment ID: I20230201003500 |
| Provider Name | Derek Scott Reno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619618105 PECOS PAC ID: 4880067537 Enrollment ID: I20230301000108 |
| Provider Name | Eric Lynn Wilkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598382640 PECOS PAC ID: 2062874183 Enrollment ID: I20230821003523 |
| Provider Name | Anthony J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396362737 PECOS PAC ID: 1850746462 Enrollment ID: I20231017000212 |
| Provider Name | Tara Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801381579 PECOS PAC ID: 9830623859 Enrollment ID: I20241113004718 |
The Greenville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-332-9878 | |
Magnolia Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Colorado St, Greenville, MS 38703 Phone: 662-332-2077 Fax: 662-332-0790 | |
Infusions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 E Union St, Greenville, MS 38703 Phone: 662-332-1153 Fax: 662-332-1157 | |
Dominick Trinca, M.d. Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Highway 1 S, Greenville, MS 38701 Phone: 662-820-4363 | |
Np Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559a Highway 1 N, Greenville, MS 38701 Phone: 662-702-5159 Fax: 662-702-5164 | |
Delta Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 Fax: 662-725-2289 | |
F H Faith Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Hospital St, Greenville, MS 38703 Phone: 662-332-8848 Fax: 662-332-8854 |