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DESOTO EAR, NOSE &THROAT
NPI 1477644045
Otolaryngology in Olive Branch, MS

Active since September 27, 2006
7164 HACKS CROSS RD STE 106, OLIVE BRANCH, MS 38654(662) 895-6455(662) 895-6460 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desoto Ear, Nose &throat NPPES

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

DESOTO EAR, NOSE &THROAT (NPI 1477644045) is a healthcare organization registered as an otolaryngology in Olive Branch, Mississippi and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Southhaven and lists Greene Berry Colvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1477644045
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameDESOTO EAR, NOSE &THROAT
Location Address7164 HACKS CROSS RD STE 106Olive Branch, MS 38654-3919
Mailing Address7164 Hacks Cross Rd Ste 106Olive Branch, MS 38654-3919 · (662) 895-6455 · Fax (662) 895-6460
Phone(662) 895-6455
Fax(662) 895-6460
Organization SubpartNo
Authorized OfficialGreene Berry ColvinOwner · (662) 895-6455
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1477644045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7164 HACKS CROSS RD STE 106, Olive Branch, MS 38654
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Secondary Practice Location 1

Location 15960 Get Well Road, Suite 212DSouthhaven, MS 38672-7320 · Phone (662) 895-6455 · Fax (662) 895-6460

Other Identifiers 1

Medicaid09016063MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desoto Ear, Nose &throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Desoto Ear, Nose & throat, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Greene Colvin, MD
Otolaryngology
NPI 1619988243
7164 HACKS CROSS RD STE 106
Olive Branch, MS 38654
(662) 895-6455
✔ PECOSSame address
Jennifer Crider, AU.D.
Qualified Audiologist
NPI 1447574728
3964 GOODMAN RD E STE 130
Southaven, MS 38672
(662) 205-0615
✔ Accepts Medicare7.4 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 Desoto Ear, Nose &throat's NPI number?

The NPI number for Desoto Ear, Nose &throat is 1477644045. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Desoto Ear, Nose &throat located?

Desoto Ear, Nose &throat is located at 7164 Hacks Cross Rd Ste 106, Olive Branch, MS 38654. The listed phone number is (662) 895-6455.

What is Desoto Ear, Nose &throat's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Desoto Ear, Nose &throat enrolled in Medicare?

Yes. Desoto Ear, Nose &throat is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desoto Ear, Nose &throat?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Desoto Ear, Nose &throat, in Otolaryngology and Qualified Audiologist. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Desoto Ear, Nose &throat was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.