Aegis Group Practice LLC

Aegis Group Practice LLC is a healthcare organization registered as Physical Therapist in Olive Branch, MS, holding Type 2 (organization) NPI 1275392458 since 2024. The authorized official on file is Tracy Mccall, Credentialing.

✓ Active NPI ✓ Valid NPI checksum

NPI	1275392458
Entity type	Organization (Type 2)
Legal business name	Aegis Group Practice LLC
Practice address	9684 GOODMAN RD, Olive Branch, MS, 38654
Phone	4792016091
Enumeration date	2024-03-18
Last updated in NPPES	2024-03-18

Authorized official

Name	Tracy Mccall
Title	Credentialing
Phone	4792016091

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
225X00000X	Occupational Therapist	Secondary	—	—
235Z00000X	Speech-Language Pathologist	Secondary	—	—
225100000X	Physical Therapist	Primary	—	—

Copy-ready billing details

Provider: Aegis Group Practice LLC
NPI: 1275392458
Taxonomy: 225100000X (Physical Therapist)
Address: 9684 GOODMAN RD, Olive Branch, MS, 38654

Providers at this address

NPI	Name	Type	Specialty	Location
1225127426	Olive Branch Residential, LLC	Organization	Assisted Living Facility	Olive Branch, MS

Verify this record

Cross-check NPI 1275392458 against the authoritative CMS record: view Aegis Group Practice LLC 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

Where is Aegis Group Practice LLC located?

The practice location on file with NPPES is in Olive Branch, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-18.