Olive Branch Family Medical Center - Medicare Primary Care in Olive Branch, MS

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Olive Branch Family Medical Center is a medicare enrolled primary clinic (Family Medicine) in Olive Branch, Mississippi. The current practice location for Olive Branch Family Medical Center is 9075 Sandidge Center Cv, Olive Branch, Mississippi. For appointments, you can reach them via phone at (662) 895-4949. The mailing address for Olive Branch Family Medical Center is 9075 Sandidge Center Cv, Olive Branch, Mississippi and phone number is (662) 895-4949.

Olive Branch Family Medical Center is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1629018478. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 895-4949.

Contact Information

Olive Branch Family Medical Center
9075 Sandidge Center Cv
Olive Branch
MS 38654-3514
(662) 895-4949
(662) 895-6776

Map and Direction


Primary Care Clinic Profile

Full NameOlive Branch Family Medical Center
SpecialityFamily Medicine
Location9075 Sandidge Center Cv, Olive Branch, Mississippi
Authorized Official Name and PositionAmy Green (BUSINESS OFFICE MANAGER)
Authorized Official Contact6628938484
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olive Branch Family Medical Center
9075 Sandidge Center Cv
Olive Branch
MS 38654-3514

Ph: (662) 895-4949		Olive Branch Family Medical Center
9075 Sandidge Center Cv
Olive Branch
MS 38654-3514

Ph: (662) 895-4949

NPI Details:

NPI Number1629018478
Provider Enumeration Date06/08/2006
Last Update Date12/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2567351984
Medicare Enrollment IDO20040313000211

Medical Identifiers

Medical identifiers for Olive Branch Family Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629018478NPI-NPPES
1629018478OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Olive Branch Family Medical Center acts as a billing entity for following providers:
Provider NameLeo Rourke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578552188
PECOS PAC ID: 0143110981
Enrollment ID: I20040317000106
Provider NameCharla F Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225027832
PECOS PAC ID: 8123096633
Enrollment ID: I20060602000177
Provider NameRandall T Huling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316936917
PECOS PAC ID: 0345139770
Enrollment ID: I20080604000056
Provider NameEdward Burris Eldred
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699975425
PECOS PAC ID: 4082808266
Enrollment ID: I20101102000039
Provider NameLora Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225323090
PECOS PAC ID: 4486822988
Enrollment ID: I20130731000489
Provider NameRebekah Overstreet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750716692
PECOS PAC ID: 3678702990
Enrollment ID: I20140208000248
Provider NameLakieva T Trotter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174791784
PECOS PAC ID: 1557432663
Enrollment ID: I20140408001374
Provider NameVirginia A Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134543820
PECOS PAC ID: 5395977953
Enrollment ID: I20140414000547
Provider NameKori Swearengen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093139214
PECOS PAC ID: 2769614379
Enrollment ID: I20140414001986
Provider NameErin Carner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285052209
PECOS PAC ID: 0840414272
Enrollment ID: I20140604002535
Provider NameSarah Haskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386058246
PECOS PAC ID: 1254551179
Enrollment ID: I20140927000145
Provider NameStacey Joyce Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811379639
PECOS PAC ID: 7911214689
Enrollment ID: I20150911001889
Provider NameSheri Stricklin Ledford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245616457
PECOS PAC ID: 0749590214
Enrollment ID: I20151112002260
Provider NameKristal Hillie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053720342
PECOS PAC ID: 7012218969
Enrollment ID: I20151217001507
Provider NameAtricia White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558761148
PECOS PAC ID: 2567684350
Enrollment ID: I20151223000036
Provider NameShelly L Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386190627
PECOS PAC ID: 1052691938
Enrollment ID: I20161212000976
Provider NameRobert-matthew F Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316460256
PECOS PAC ID: 0143594309
Enrollment ID: I20170927000607
Provider NameElizabeth Janine Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225542723
PECOS PAC ID: 6709127145
Enrollment ID: I20190411000931
Provider NameBonnie F Dering
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326682600
PECOS PAC ID: 0749613743
Enrollment ID: I20191205000902
Provider NameNathaniel Bump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003449398
PECOS PAC ID: 9335562644
Enrollment ID: I20200706000482
Provider NameDiana Lynn Leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538836218
PECOS PAC ID: 6103224159
Enrollment ID: I20211006001485

Reviews and Comments


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Phone: 901-634-8641    Fax: 662-420-7147

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.