Elite Practice Management
Elite Practice Management is a healthcare organization registered as Dentist in Olive Branch, MS, holding Type 2 (organization) NPI 1124630462 since 2020. The authorized official on file is Kimberly Avant, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124630462 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Elite Practice Management |
| Practice address | 7185 CRAPE MYRTLE DR, Olive Branch, MS, 38654 |
| Phone | 6623143585 |
| Fax | 6623465438 |
| Enumeration date | 2020-08-18 |
| Last updated in NPPES | 2020-08-18 |
Authorized official
| Name | Kimberly Avant |
|---|---|
| Title | Practice Manager |
| Phone | 6623143585 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Elite Practice Management NPI: 1124630462 Taxonomy: 122300000X (Dentist) Address: 7185 CRAPE MYRTLE DR, Olive Branch, MS, 38654
Verify this record
Cross-check NPI 1124630462 against the authoritative CMS record: view Elite Practice Management on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Elite Practice Management?
Who is the authorized official for Elite Practice Management?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-18.