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Delta Convenient Care PC

Cardiovascular Disease Physician in Jackson, TN · enumerated 2006 · authorized official Elie Hage-Korban, Authorized Official.

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

National Provider Identifier

1629016399

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Registry record

Entity type Organization (Type 2)
Legal business name Delta Convenient Care PC
Other name <Unavail>
Practice address 17 Centre Plaza Dr, Jackson, TN, 38305
Phone (731) 512-0104
Fax (731) 512-0938
Enumeration date Jun 3, 2006
Last updated in NPPES Jun 5, 2014

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Elie Hage-Korban
Title Authorized Official
Phone (731) 512-0104

Other identifiers

Identifier Type State Issuer
3720558 Medicaid TN -

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

Who is the authorized official for Delta Convenient Care PC?
NPPES lists Elie Hage-Korban (Authorized Official) as the authorized official for this organization.
What is the NPI number for Delta Convenient Care PC?
The NPI for Delta Convenient Care PC is 1629016399, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-05.