Olive Branch Family Medical Center
NPI 1629018478ActiveOrganization· Family Medicine· Olive Branch, MS
Family Medicine in Olive Branch, Mississippi, registered in NPPES in June 2006. The authorized official on file is Amy Green, Business Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629018478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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