North Delta Medicine Clinic P A
NPI 1780778571ActiveOrganization· Internal Medicine· Clarksdale, MS
Internal Medicine in Clarksdale, Mississippi, registered in NPPES in October 2006. The authorized official on file is Kenneth Wayne Kellough, M.D., Owner.
Overview
| NPI | 1780778571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Dec 3, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 16776 | MS |
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 |
|---|
Other Internal Medicine providers in Clarksdale
- 1679714091
- 1740297688
- 1386184554
- 1609464619
- 1598458515
- 1871361121
- 1700226123
- 1083024558
- 1609815000