Delta Physician Practices
NPI 1790804714ActiveOrganization· Pediatrics· Greenville, MS
Pediatrics in Greenville, Mississippi, registered in NPPES in March 2007, part of Delta Physician Practices. The authorized official on file is Iris Stacker, Ceo.
Overview
| NPI | 1790804714 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Delta Physician Practices |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Nov 14, 2022 |
| Certified by provider | Nov 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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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