North Delta Medicine Clinic P a
NPI 1780778571 · Internal Medicine Physician · Clarksdale, MS
North Delta Medicine Clinic P a is a Internal Medicine Physician organization in Clarksdale, MS (NPI 1780778571).
Provider details
- NPI number
- 1780778571
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Kellough, Owner(662) 621-2192
- License
- 16776 (MS)
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
19 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
- 2006-10-03
- Last updated
- 2009-12-03
Frequently asked questions
- What is North Delta Medicine Clinic P a's NPI number?
- North Delta Medicine Clinic P a's National Provider Identifier (NPI) is 1780778571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Delta Medicine Clinic P a?
- North Delta Medicine Clinic P a is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is North Delta Medicine Clinic P a located?
- North Delta Medicine Clinic P a's practice location on file with NPPES is 705 N State St, Clarksdale, MS 38614-6519.
- What is North Delta Medicine Clinic P a's phone number?
- The practice phone number listed in the NPPES registry for North Delta Medicine Clinic P a is (662) 621-2192.
- Who is the authorized official for North Delta Medicine Clinic P a?
- The authorized official listed on North Delta Medicine Clinic P a's NPPES record is Kenneth Kellough, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Delta Medicine Clinic P a's NPI active?
- Yes — North Delta Medicine Clinic P a's NPI (1780778571) is active in the NPPES registry as of the last update on 2009-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.