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

Delta Physician Practices

Organization Physical Medicine & Rehabilitation Physician · NPI 1225157506

Delta Physician Practices is a Physical Medicine & Rehabilitation Physician in Greenville, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

300 S Washington Ave
Greenville, MS 38701-4719
Phone: (662) 378-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1225157506
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDelta Physicain Practices
Authorized official Iris Stacker — Ceo · (662) 725-2264
Other names Delta Health-Medical Group
NPI enumeratedMarch 28, 2007
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing addressPo Box 23998, Jackson, MS 39225-3998