Mid Delta Radiology Associates, LLC
NPI 1487904173 · Diagnostic Radiology Physician · Clarksdale, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid Delta Radiology Associates, LLC is a Diagnostic Radiology Physician organization in Clarksdale, MS (NPI 1487904173).
Provider details
- NPI number
- 1487904173
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelley Oliver, Manager(662) 832-3514
- License
- E7789 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Mid Delta Radiology Associates, LLC's NPI number?
- Mid Delta Radiology Associates, LLC's National Provider Identifier (NPI) is 1487904173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid Delta Radiology Associates, LLC?
- Mid Delta Radiology Associates, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mid Delta Radiology Associates, LLC located?
- Mid Delta Radiology Associates, LLC's practice location on file with NPPES is 130 River Club Cir, Clarksdale, MS 38614-9725.
- What is Mid Delta Radiology Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid Delta Radiology Associates, LLC is (662) 832-3514.
- Does Mid Delta Radiology Associates, LLC accept Medicare?
- Mid Delta Radiology Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mid Delta Radiology Associates, LLC?
- The authorized official listed on Mid Delta Radiology Associates, LLC's NPPES record is Kelley Oliver, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid Delta Radiology Associates, LLC's NPI active?
- Yes — Mid Delta Radiology Associates, LLC's NPI (1487904173) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.