DESOTO PRIMARY CARE CLINIC, PLLC
NPI 1477643732
Family Medicine in Olive Branch, MS

Active since October 14, 2006
6942 AUTUMN OAKS DR, OLIVE BRANCH, MS 38654(901) 517-9171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desoto Primary Care Clinic, Pllc NPPES

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

DESOTO PRIMARY CARE CLINIC, PLLC (NPI 1477643732) is a healthcare organization registered as a family medicine in Olive Branch, Mississippi and active in the NPI registry since October 2006. The organization lists Laju A. Kumar, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1477643732
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESOTO PRIMARY CARE CLINIC, PLLC
Location Address6942 AUTUMN OAKS DROlive Branch, MS 38654-9379
Mailing Address6942 Autumn Oaks DrOlive Branch, MS 38654-9379 · (901) 517-9171
Organization SubpartNo
Authorized OfficialLaju A. KumarSole Owner · (901) 517-9171
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1477643732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 18277
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.
6942 AUTUMN OAKS DR, Olive Branch, MS 38654

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

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

Chiropractor
6942 AUTUMN OAKS DR, A
OLIVE BRANCH, MS 38654

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 Primary Care Clinic, PLLC's NPI number?

The NPI number for Desoto Primary Care Clinic, PLLC is 1477643732. It was assigned to this organization in the NPPES registry on October 14, 2006.

Where is Desoto Primary Care Clinic, PLLC located?

Desoto Primary Care Clinic, PLLC is located at 6942 Autumn Oaks Dr, Olive Branch, MS 38654. The listed phone number is (901) 517-9171.

What is Desoto Primary Care Clinic, PLLC'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 Primary Care Clinic, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.