Delta Foot Clinics, Inc
NPI 1962689042ActiveOrganization· Clinic/Center, Podiatric· Vicksburg, MS
Clinic/Center, Podiatric in Vicksburg, Mississippi, registered in NPPES in January 2008. The authorized official on file is Brian Edward Shockley, DPM, President/Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1962689042 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2008 |
| Last updated in NPPES | Jan 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | 80142 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (MS); Part B Supplier - Clinic/Group Practice (MS) |
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