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Delta Concierge Medicine, Inc.

Health Maintenance Organization in Clarksdale, MS · enumerated 2011 · authorized official Kenneth Kellough, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598049264

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Registry record

Entity type Organization (Type 2)
Legal business name Delta Concierge Medicine, Inc.
Practice address 705 N State St, Clarksdale, MS, 38614
Phone (662) 621-2192
Enumeration date Sep 29, 2011
Last updated in NPPES Sep 29, 2011

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations · License 16776 (MS) Primary

Authorized official

Name Kenneth Kellough
Title Chief Executive Officer
Phone (662) 621-2192

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.

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Frequently asked questions

What is the NPI number for Delta Concierge Medicine, Inc.?
The NPI for Delta Concierge Medicine, Inc. is 1598049264, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Delta Concierge Medicine, Inc.?
NPPES lists Kenneth Kellough (Chief Executive Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-29.