Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Delta Medical Group

Organization Emergency Medicine Physician · NPI 1790701134

Delta Medical Group is an Emergency Medicine Physician in Greenville, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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Practice location Address checks out

1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone: (662) 725-2749
Fax: (662) 725-2741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Infectious Disease Physician Taxonomy 207RI0200X
Rheumatology Physician Taxonomy 207RR0500X
Neurological Surgery Physician Taxonomy 207T00000X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Plastic Surgery Physician Taxonomy 208200000X
Neurology Physician Taxonomy 2084N0400X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790701134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Stacker — Ceo · (662) 378-3783
NPI enumeratedJuly 15, 2006
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing addressPo Box 1734, Greenville, MS 38702-1734

Other providers in Greenville