Excellence Concierge Medicine LLC
NPI 1124718366 · Community Health Nurse Practitioner · Olive Branch, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Excellence Concierge Medicine LLC is a Community Health Nurse Practitioner organization in Olive Branch, MS (NPI 1124718366).
Provider details
- NPI number
- 1124718366
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Miranda White, Fnp/Ceo(901) 832-6805
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
3 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
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-05-10
- Certified
- 2023-05-08
Frequently asked questions
- What is Excellence Concierge Medicine LLC's NPI number?
- Excellence Concierge Medicine LLC's National Provider Identifier (NPI) is 1124718366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excellence Concierge Medicine LLC?
- Excellence Concierge Medicine LLC is classified in the NPPES registry as Community Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Excellence Concierge Medicine LLC located?
- Excellence Concierge Medicine LLC's practice location on file with NPPES is 7712 Keri Cv, Olive Branch, MS 38654-5049.
- What is Excellence Concierge Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Excellence Concierge Medicine LLC is (901) 832-6805.
- Does Excellence Concierge Medicine LLC accept Medicare?
- Excellence Concierge Medicine 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 Excellence Concierge Medicine LLC?
- The authorized official listed on Excellence Concierge Medicine LLC's NPPES record is Miranda White, Fnp/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excellence Concierge Medicine LLC's NPI active?
- Yes — Excellence Concierge Medicine LLC's NPI (1124718366) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.