Active NPI
Olive Branch Primary Care & Wellness, LLC
- Family Medicine Physician
- Prattville, AL
National Provider Identifier
1487561650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OLIVE BRANCH PRIMARY CARE & WELLNESS, LLC
- Practice address
- 210 Medical Center Dr
Prattville, AL 36066-7288 - Phone
- (334) 373-4955
- Fax
- (844) 552-4198
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly A Hindi, CRNP
- Title
- Owner/Nurse Practitioner
- Phone
- (334) 373-4955
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
210 Medical Center Dr
Prattville, AL 36066-7288
Mailing address
210 Medical Center Dr
Prattville, AL 36066-7288
Phone (334) 373-4955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1487561650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MEDICAL CENTER DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667288",
"telephone_number": "334-373-4955",
"fax_number": "844-552-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MEDICAL CENTER DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667288",
"telephone_number": "334-373-4955",
"fax_number": "844-552-4198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH PRIMARY CARE & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "HINDI",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "334-373-4955",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.