1. Home
  2. Directory
  3. Mississippi
  4. Olive Branch
  5. Family Medicine
  6. NPI Profile

DESOTO FAMILY MEDICAL PRACTICE, P.C.
NPI 1255343273
Family Medicine in Olive Branch, MS

Active since August 12, 2006
7163 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 895-3700(662) 895-4886 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desoto Family Medical Practice, P.c. NPPES

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

DESOTO FAMILY MEDICAL PRACTICE, P.C. (NPI 1255343273) is a healthcare organization registered as a family medicine in Olive Branch, Mississippi and active in the NPI registry since August 2006. The organization lists Karen M Tate, Secretary, as its authorized official.

NPPES Registry Identity

NPI1255343273
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESOTO FAMILY MEDICAL PRACTICE, P.C.
Location Address7163 GOODMAN RDOlive Branch, MS 38654-1904
Mailing Address7163 Goodman Rd, P. O. Box 518Olive Branch, MS 38654-1904 · (662) 895-3700 · Fax (662) 895-4886
Phone(662) 895-3700
Fax(662) 895-4886
Organization SubpartNo
Authorized OfficialKaren M TateSecretary · (662) 895-3700
Enumeration DateAugust 12, 2006
Last NPPES UpdateNovember 19, 2011
✔ NPI 1255343273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7163 GOODMAN RD, Olive Branch, MS 38654
Open in Google Maps ↗

Other Identifiers 1

Other512G700011MS · Medicare Identification Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY HICKS NP
Nurse Practitioner (Family)
7163 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 895-3700
WILLIAM HARDEE MCCLATCHY MD
Family Medicine
7163 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 893-7878
OLIVE BRANCH PRIMARY CARE, PLLC
Clinic/Center
7163 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 895-3700

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 Desoto Family Medical Practice, P.C.'s NPI number?

The NPI number for Desoto Family Medical Practice, P.C. is 1255343273. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Desoto Family Medical Practice, P.C. located?

Desoto Family Medical Practice, P.C. is located at 7163 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 895-3700.

What is Desoto Family Medical Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Desoto Family Medical Practice, P.C. was last updated on November 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.