Olive Branch Family Medical Center
NPI 1629018478 · Family Medicine Physician · Olive Branch, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olive Branch Family Medical Center is a Family Medicine Physician organization in Olive Branch, MS (NPI 1629018478).
Provider details
- NPI number
- 1629018478
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Green, Business Office Manager(662) 893-8484
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 8135 Goodman RdOlive Branch, MS 38654-2103Phone: (662) 895-4949Fax: (662) 893-1103
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Frequently asked questions
- What is Olive Branch Family Medical Center's NPI number?
- Olive Branch Family Medical Center's National Provider Identifier (NPI) is 1629018478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Branch Family Medical Center?
- Olive Branch Family Medical Center is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Olive Branch Family Medical Center located?
- Olive Branch Family Medical Center's practice location on file with NPPES is 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514.
- What is Olive Branch Family Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Olive Branch Family Medical Center is (662) 895-4949.
- Does Olive Branch Family Medical Center accept Medicare?
- Olive Branch Family Medical Center 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 Olive Branch Family Medical Center?
- The authorized official listed on Olive Branch Family Medical Center's NPPES record is Amy Green, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Branch Family Medical Center's NPI active?
- Yes — Olive Branch Family Medical Center's NPI (1629018478) is active in the NPPES registry as of the last update on 2020-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.