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OLIVE BRANCH RECOVERY-ARKANSAS LLC
NPI 1245035971
Emergency Medicine in Rogers, AR

Active since February 17, 2025
6028 W STONEY BROOK RD STE 3, ROGERS, AR 72758(940) 220-8899 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olive Branch Recovery-arkansas Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE BRANCH RECOVERY-ARKANSAS LLC (NPI 1245035971) is a healthcare organization registered as an emergency medicine in Rogers, Arkansas and active in the NPI registry since February 2025. The organization lists Jacob Mumm, Owner, as its authorized official.

NPPES Registry Identity

NPI1245035971
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameOLIVE BRANCH RECOVERY-ARKANSAS LLC
Location Address6028 W STONEY BROOK RD STE 3Rogers, AR 72758-8180
Mailing Address6028 W Stoney Brook Rd Ste 3Rogers, AR 72758-8180
Phone(940) 220-8899
Organization SubpartNo
Authorized OfficialJacob MummOwner · (940) 220-8899
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1245035971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6028 W STONEY BROOK RD STE 3, Rogers, AR 72758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olive Branch Recovery-arkansas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Olive Branch Recovery-Arkansas LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacob Mumm, M.D.
Emergency Medicine
NPI 1083024590
1332 TEASLEY LN STE 180
Denton, TX 76205
(940) 220-8899
✔ PECOS✔ Accepts Medicare272 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Branch Recovery-Arkansas LLC's NPI number?

The NPI number for Olive Branch Recovery-Arkansas LLC is 1245035971. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Olive Branch Recovery-Arkansas LLC located?

Olive Branch Recovery-Arkansas LLC is located at 6028 W Stoney Brook Rd Ste 3, Rogers, AR 72758. The listed phone number is (940) 220-8899.

What is Olive Branch Recovery-Arkansas LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Olive Branch Recovery-Arkansas LLC enrolled in Medicare?

Yes. Olive Branch Recovery-Arkansas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olive Branch Recovery-Arkansas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Olive Branch Recovery-Arkansas LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olive Branch Recovery-Arkansas LLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.