Delta Health System
NPI 1609464619 · Internal Medicine Physician · Clarksdale, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Delta Health System is a Internal Medicine Physician organization in Clarksdale, MS (NPI 1609464619).
Provider details
- NPI number
- 1609464619
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Delta Health-The Medical Center
- Organization subpart
- Yes
- Authorized official
- Iris Stacker, Chief Executive Officer(662) 378-3783
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
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
Other names (DBA / former)
- Other name
- Delta Health-Clarksdale Physician Group
- Doing business as
- Delta Health-Medical Group
Additional practice locations (7)
- 785 Ohio Ave Ste 3gClarksdale, MS 38614-6215Phone: (662) 624-5026
- 785 Ohio Ave Ste 3eClarksdale, MS 38614-6215Phone: (662) 627-7726
- 785 Ohio Ave Ste 3dClarksdale, MS 38614-6215Phone: (662) 627-7726
- 785 Ohio Ave Ste 2dClarksdale, MS 38614-6216Phone: (662) 627-2509
- 785 Ohio Ave Ste 2eClarksdale, MS 38614-6216Phone: (662) 621-5006Fax: (662) 621-5007
- 785 Ohio Ave Ste 1hClarksdale, MS 38614-6213Phone: (662) 621-2438
- 1693 Fairgrounds RdGreenville, MS 38703-7810Phone: (662) 725-2292
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Frequently asked questions
- What is Delta Health System's NPI number?
- Delta Health System's National Provider Identifier (NPI) is 1609464619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Delta Health System?
- Delta Health System is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Delta Health System located?
- Delta Health System's practice location on file with NPPES is 785 Ohio Ave Ste 2h, Clarksdale, MS 38614-6216.
- What is Delta Health System's phone number?
- The practice phone number listed in the NPPES registry for Delta Health System is (662) 627-3003.
- Does Delta Health System accept Medicare?
- Delta Health System 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 Delta Health System?
- The authorized official listed on Delta Health System's NPPES record is Iris Stacker, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Delta Health System's NPI active?
- Yes — Delta Health System's NPI (1609464619) is active in the NPPES registry as of the last update on 2022-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.