DELTA PHOENIX FAMILY AND AESTHETIC MEDICINE
NPI 1174309819
Nurse Practitioner - Family in Southaven, MS

NPI Status: Active since September 07, 2023

Contact Information

940 CHURCH RD W STE A2
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 231-8436
Fax: (662) 536-6640

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  • Organization
  • Nurse Practitioner
  • Family

About DELTA PHOENIX FAMILY AND AESTHETIC MEDICINE

This page provides the complete NPI Profile along with additional information for Delta Phoenix Family And Aesthetic Medicine, a provider established in Southaven, Mississippi operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1174309819 assigned on September 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Delta Phoenix Family And Aesthetic Medicine. The authorized official of this NPI record is Monica Joy Stanford Fnp-c (Owner Sole Proprietor)

NPI
1174309819
Provider Legal Name
DELTA PHOENIX MEDICAL CONSULTING
Other Organization Name
DELTA PHOENIX FAMILY AND AESTHETIC MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
940 CHURCH RD W STE A2 SOUTHAVEN, MS 38671
Location Phone
(662) 231-8436
Location Fax
(662) 536-6640
Mailing Address
940 CHURCH RD W STE A2 SOUTHAVEN, MS 38671
Mailing Phone
(662) 231-8436
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2023
Last Update Date
11-02-2023
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A nurse practitioner (NP) like Delta Phoenix Family And Aesthetic Medicine is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MONICA JOY STANFORD FNP-C

Authorized Official Title
OWNER SOLE PROPRIETOR
Authorized Official Phone
(662) 231-8436

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174309819
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144601882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 6 + 0 + 1 + 8 + 8 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1174309819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457796922MRS. MONICA JOY STANFORD FNP-C
Individual
Nurse Practitioner (Family)940 CHURCH RD W STE A2
SOUTHAVEN, MS 38671
(662) 231-8436

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174309819, enumerated in the NPI registry as an "organization" on September 07, 2023

The provider is located at 940 Church Rd W Ste A2 Southaven, Ms 38671 and the phone number is (662) 231-8436

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on September 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.