Olive Branch Way PLLC
NPI 1972479137 · Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olive Branch Way PLLC is a Clinic/Center organization in Jacksonville, FL (NPI 1972479137).
Provider details
- NPI number
- 1972479137
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sherekia Hales, Owner(904) 710-0398
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-09-29
Frequently asked questions
- What is Olive Branch Way PLLC's NPI number?
- Olive Branch Way PLLC's National Provider Identifier (NPI) is 1972479137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Branch Way PLLC?
- Olive Branch Way PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Olive Branch Way PLLC located?
- Olive Branch Way PLLC's practice location on file with NPPES is 245 Riverside Ave Ste 100, Jacksonville, FL 32202-4930.
- What is Olive Branch Way PLLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Branch Way PLLC is (904) 575-0628.
- Does Olive Branch Way PLLC accept Medicare?
- Olive Branch Way PLLC 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 Way PLLC?
- The authorized official listed on Olive Branch Way PLLC's NPPES record is Sherekia Hales, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Branch Way PLLC's NPI active?
- Yes — Olive Branch Way PLLC's NPI (1972479137) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.