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Old Towne Medical LLC

Family Nurse Practitioner in Olive Branch, MS · enumerated 2014 · authorized official Susan Brame, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013312172

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Registry record

Entity type Organization (Type 2)
Legal business name Old Towne Medical LLC
Other name <Unavail>
Practice address 9066 Highland St, Olive Branch, MS, 38654
Phone (662) 890-7717
Fax (662) 874-6038
Enumeration date Oct 30, 2014
Last updated in NPPES Jul 30, 2019

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R644986 (MS) Primary

Authorized official

Name Susan Brame
Title Owner
Phone (901) 489-6595

Other identifiers

Identifier Type State Issuer
03278318 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Old Towne Medical LLC?
Old Towne Medical LLC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-30.