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Delta Physician Practices

Delta Physician Practices is a healthcare organization registered as Emergency Medicine Physician in Greenville, MS, holding Type 2 (organization) NPI 1417076431 since 2007. The authorized official on file is Iris Stacker, Ceo.

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NPI 1417076431
Entity type Organization (Type 2)
Legal business name Delta Physician Practices
Parent organization Delta Physician Practices
Practice address 1400 E UNION ST, Greenville, MS, 38703
Phone 6623783783
Enumeration date 2007-03-29
Last updated in NPPES 2022-11-14

Authorized official

Name Iris Stacker
Title Ceo
Phone 6623783783

Taxonomy & classification

Taxonomy code Specialty Primary License State
207P00000X Emergency Medicine Physician Primary

Other identifiers

Identifier Type State Issuer
09015100 Medicaid MS
156272002 Medicaid AR
Copy-ready billing details
Provider: Delta Physician Practices
NPI: 1417076431
Taxonomy: 207P00000X (Emergency Medicine Physician)
Address: 1400 E UNION ST, Greenville, MS, 38703

Providers at this address

NPI Name Type Specialty Location
1629994066 Sarah Goff Individual Family Nurse Practitioner Greenville, MS
1306762257 Kathryn Cox Individual Nurse Practitioner Greenville, MS
1720059249 Delta Regional Anesthesiology Group Organization Anesthesiology Physician Greenville, MS
1386601227 David Broome Individual Anesthesiology Physician Greenville, MS
1245297183 Robert Coleman Individual Certified Registered Nurse Anesthetist Greenville, MS
1215994231 Richard Jackson Individual Anesthesiology Physician Greenville, MS
1073562799 Michael Arnold Individual Certified Registered Nurse Anesthetist Greenville, MS
1407800048 Ellis O'Neal Individual Emergency Medicine Physician Greenville, MS

Verify this record

Cross-check NPI 1417076431 against the authoritative CMS record: view Delta Physician Practices on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-14. Verify at npiregistry.cms.hhs.gov.
Where is Delta Physician Practices located?
The practice location on file with NPPES is in Greenville, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-14.