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NPI · 1124718366 · NPPES-sourced

Excellence Concierge Medicine LLC

ActiveCommunity Health Nurse Practitioner
NPI Number
1124718366
Type 2 · Organisation
Contact
(901) 832-6805
Primary practice line
Last Updated
Enumerated
Primary practice addressMS · 38654-5049
7712 Keri CvOlive Branch, MS 38654-5049
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About this NPIWhat this record shows.

NPI 1124718366 is registered to Excellence Concierge Medicine LLC, a healthcare organisation classified as "Community Health Nurse Practitioner" and located at 7712 Keri Cv in Olive Branch, Mississippi. The organisation's authorised official is Miranda White. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Excellence Concierge Medicine LLC accepts. To confirm in-network status with your specific health plan, contact Excellence Concierge Medicine LLC directly at (901) 832-6805.

Frequently asked

Yes. NPI 1124718366 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (901) 832-6805.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Excellence Concierge Medicine LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LC1500X
Last updated
Enumerated
StatusActive
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Same specialtyOther Community Health Nurse Practitioner providers in Mississippi.

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