OLIVE BRANCH PRIMARY CARE, PLLC
NPI 1871918789
Clinic/Center in Olive Branch, MS

Active since February 28, 2014
7163 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 895-3700(662) 895-4886 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olive Branch Primary Care, Pllc NPPES

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

OLIVE BRANCH PRIMARY CARE, PLLC (NPI 1871918789) is a healthcare organization registered as a clinic/center in Olive Branch, Mississippi and active in the NPI registry since February 2014. The organization lists Karen M Tate, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1871918789
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOLIVE BRANCH PRIMARY CARE, PLLC
Location Address7163 GOODMAN RDOlive Branch, MS 38654-1904
Mailing Address1405 Nottingham DrSouthaven, MS 38671-9474 · (662) 349-0406 · Fax (662) 349-0406
Fax(662) 895-4886
Organization SubpartNo
Authorized OfficialKaren M TateOffice Administrator · (662) 895-3700
Enumeration DateFebruary 28, 2014
NPI 1871918789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7163 GOODMAN RD, Olive Branch, MS 38654

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.

Family Medicine
7163 GOODMAN RD
OLIVE BRANCH, MS 38654
Nurse Practitioner (Family)
7163 GOODMAN RD
OLIVE BRANCH, MS 38654
Family Medicine
7163 GOODMAN RD
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 Olive Branch Primary Care, PLLC's NPI number?

The NPI number for Olive Branch Primary Care, PLLC is 1871918789. It was assigned to this organization in the NPPES registry on February 28, 2014.

Where is Olive Branch Primary Care, PLLC located?

Olive Branch Primary Care, PLLC is located at 7163 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 895-3700.

What is Olive Branch Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Olive Branch Primary Care, PLLC was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.