OrganizationActive
Green Tree Family Medical Clinic
NPI 1770741191 · Rural Health Clinic/Center · Mt. Olive, MS
Provider details
- NPI number
- 1770741191
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy Bynum, Clinic Director(601) 765-3180
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
603 Main Street
Mt. Olive, MS 39119
Phone: (601) 797-3405
Fax: (601) 797-4707
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1107
Mount Olive, MS 39119-1107
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.