Delta Physician Practices
NPI 1225157506ActiveOrganization· Nurse Practitioner· Greenville, MS
Nurse Practitioner in Greenville, Mississippi, registered in NPPES in March 2007, part of Delta Physicain Practices. The authorized official on file is Iris Stacker, Ceo.
Overview
| NPI | 1225157506 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Delta Physicain Practices |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Nov 4, 2022 |
| Certified by provider | Nov 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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