Delta Kidney Alliance LLC
NPI 1992276851ActiveOrganization· Internal Medicine, Nephrology· Greenville, MS
Internal Medicine, Nephrology in Greenville, Mississippi, registered in NPPES in December 2018. The authorized official on file is Lisa Hearn, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1992276851 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2018 |
| Last updated in NPPES | Sep 14, 2020 |
| Certified by provider | Sep 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
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 Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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