Delta Foot Clinics, Inc
NPI 1962689042 · Podiatric Clinic/Center · Vicksburg, MS
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Delta Foot Clinics, Inc is a Podiatric Clinic/Center organization in Vicksburg, MS (NPI 1962689042).
Provider details
- NPI number
- 1962689042
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Shockley, President/Owner(601) 638-7520
- License
- 80142 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Other names (DBA / former)
- Doing business as
- The Foot Clinic
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2011-01-28
Frequently asked questions
- What is Delta Foot Clinics, Inc's NPI number?
- Delta Foot Clinics, Inc's National Provider Identifier (NPI) is 1962689042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Delta Foot Clinics, Inc?
- Delta Foot Clinics, Inc is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Delta Foot Clinics, Inc located?
- Delta Foot Clinics, Inc's practice location on file with NPPES is 1814 Mission 66, Vicksburg, MS 39180-3710.
- What is Delta Foot Clinics, Inc's phone number?
- The practice phone number listed in the NPPES registry for Delta Foot Clinics, Inc is (601) 638-7520.
- Does Delta Foot Clinics, Inc accept Medicare?
- Delta Foot Clinics, Inc 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 Foot Clinics, Inc?
- The authorized official listed on Delta Foot Clinics, Inc's NPPES record is Brian Shockley, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Delta Foot Clinics, Inc's NPI active?
- Yes — Delta Foot Clinics, Inc's NPI (1962689042) is active in the NPPES registry as of the last update on 2011-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.