Delta Convenient Care PC
Delta Convenient Care PC is a healthcare organization registered as Cardiovascular Disease Physician in Jackson, TN, holding Type 2 (organization) NPI 1629016399 since 2006. The authorized official on file is Elie Hage-Korban, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629016399 |
|---|---|
| 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 | 7315120104 |
| Fax | 7315120938 |
| Enumeration date | 2006-06-03 |
| Last updated in NPPES | 2014-06-05 |
Authorized official
| Name | Elie Hage-Korban |
|---|---|
| Title | Authorized Official |
| Phone | 7315120104 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | Secondary | — | TN |
| 207RC0000X | Cardiovascular Disease Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3720558 | Medicaid | TN | — |
Copy-ready billing details
Provider: Delta Convenient Care PC NPI: 1629016399 Taxonomy: 207RC0000X (Cardiovascular Disease Physician) Address: 17 CENTRE PLAZA DR, Jackson, TN, 38305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730133448 | Ronald Weiner | Individual | Cardiovascular Disease Physician | Jackson, TN |
| 1306885447 | Louis Cunningham | Individual | Specialist | Jackson, TN |
| 1699708008 | Emad Mohamed | Individual | Cardiovascular Disease Physician | Jackson, TN |
| 1790907418 | Nirav Patel | Individual | Cardiovascular Disease Physician | Jackson, TN |
| 1235318056 | Naji Bourji | Individual | Cardiovascular Disease Physician | Jackson, TN |
| 1205000296 | Simon Okewole | Individual | Clinical Cardiac Electrophysiology Physician | Jackson, TN |
| 1497076327 | Dum Piawa | Individual | Cardiovascular Disease Physician | Jackson, TN |
| 1770880171 | Tracy Little | Individual | Nurse Practitioner | Jackson, TN |
Verify this record
Cross-check NPI 1629016399 against the authoritative CMS record: view Delta Convenient Care PC 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
Who is the authorized official for Delta Convenient Care PC?
What is the NPI number for Delta Convenient Care PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-05.