OLIVE BRANCH EMERGENCY PHYSICIANS LLC
NPI 1730969734
Emergency Medicine in Olive Branch, MS
About Olive Branch Emergency Physicians Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVE BRANCH EMERGENCY PHYSICIANS LLC (NPI 1730969734) is a healthcare organization registered as an emergency medicine in Olive Branch, Mississippi and active in the NPI registry since October 2023. The organization lists Kim Larsen, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Emergency Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
96Medicare enrollment records show 96 clinicians reassign Medicare billing to Olive Branch Emergency Physicians LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 96Source: 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 Emergency Physicians LLC's NPI number?
The NPI number for Olive Branch Emergency Physicians LLC is 1730969734. It was assigned to this organization in the NPPES registry on October 5, 2023.
Where is Olive Branch Emergency Physicians LLC located?
Olive Branch Emergency Physicians LLC is located at 4250 Bethel Rd, Olive Branch, MS 38654. The listed phone number is (662) 932-9000.
What is Olive Branch Emergency Physicians LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Olive Branch Emergency Physicians LLC enrolled in Medicare?
Yes. Olive Branch Emergency Physicians LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Olive Branch Emergency Physicians LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 4 Medicare specialties reassign their Medicare billing to Olive Branch Emergency Physicians 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. The largest specialties are Nurse Practitioner (44), Emergency Medicine (42) and Family Practice (7). Of these, 4 practice at this address and 15 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 Olive Branch Emergency Physicians LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Olive Branch Emergency Physicians Llc · NPI 1730969734
Emergency Medicine organization in Olive Branch, Mississippi. Organization record, active in the CMS NPPES registry since October 5, 2023.
## Identity
- **NPI:** 1730969734 (Entity type: Organization)
- **Enumerated:** October 5, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR
## Practice location
- **Address:** 4250 BETHEL RD, Olive Branch, MS 38654-8737
- **Phone:** (662) 932-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 96 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (44), Emergency Medicine (42), Family Practice (7); 4 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1730969734/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730969734) · Data from the CMS NPPES public registry.