Old Towne Medical LLC
NPI 1013312172 · Family Nurse Practitioner · Olive Branch, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Towne Medical LLC is a Family Nurse Practitioner organization in Olive Branch, MS (NPI 1013312172).
Provider details
- NPI number
- 1013312172
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Susan Brame, Owner(901) 489-6595
- License
- R644986 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Old Towne Medical
- Doing business as
- Old Towne Medical
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2019-07-30
Frequently asked questions
- What is Old Towne Medical LLC's NPI number?
- Old Towne Medical LLC's National Provider Identifier (NPI) is 1013312172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Towne Medical LLC?
- Old Towne Medical LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Old Towne Medical LLC located?
- Old Towne Medical LLC's practice location on file with NPPES is 9066 Highland St, Olive Branch, MS 38654-2307.
- What is Old Towne Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Towne Medical LLC is (662) 890-7717.
- Does Old Towne Medical LLC accept Medicare?
- Old Towne Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Towne Medical LLC?
- The authorized official listed on Old Towne Medical LLC's NPPES record is Susan Brame, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Towne Medical LLC's NPI active?
- Yes — Old Towne Medical LLC's NPI (1013312172) is active in the NPPES registry as of the last update on 2019-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.