MAGNOLIA FAMILY MEDICAL PRACTICE (NPI# 1669991337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669991337 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY MEDICAL PRACTICE |
| Practice Address |
121 Pratt Dr Ste 1a Corinth MS 38834-6026 |
| Mailing Address |
401 Alcorn Dr Ste 2c Corinth MS 38834-9073 |
| Practice Telephone | 6622860088 |
| Practice Fax Number | 6622860067 |
| Mailing Telephone | 6622937266 |
| Mailing Fax Number | 6622936255 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Authorized Official Name | RONNY HUMES (CEO) |
| Authorized Official Telephone | 6622937664 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAGNOLIA REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
121 PRATT DR STE 1A |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821257767 | Magnolia Medical Clinic | Family Medicine | 502 Alcorn Drive, Corinth, MS 38834-9323 | 2008-06-05 |
| 1992885933 | Richard Walker Pitkin | Family Medicine | 214 Center St, Corinth, NY 12822-1159 | 2006-10-16 |
| 1275645145 | Jacci Gayle Walden | Family Medicine | 3504 Corinth Parkway, Suite 150, Corinth, TX 76208 | 2006-08-31 |
| 1689680431 | Carl C Welch, Md, Pa | Family Medicine | 502 Alcorn Dr, Corinth, MS 38834-9392 | 2006-08-01 |
| 1790709079 | George Leonard Cain Jr. | Family Medicine | 506 Alcorn Dr, Corinth, MS 38834-9392 | 2006-07-27 |
| 1124041132 | Corinth Family Care Center PC | Family Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 | 2006-07-25 |
| 1306869375 | Erica Lynn Noyes | Family Medicine | 2000 Shiloh Road, Corinth, MS 38834-2909 | 2006-07-25 |
| 1568482024 | Thomas Laney Sweat | Family Medicine | 2008 Robertson St, Corinth, MS 38834-3720 | 2006-07-20 |
| 1831141399 | William L Marcy | Family Medicine | 303 N Madison St, Corinth, MS 38834-5072 | 2006-05-16 |
| 1104899129 | Alphonsus Ligouri Flannery | Family Medicine | 703 Alcorn Dr, Corinth, MS 38834-9302 | 2006-02-09 |
| Find all providers in CORINTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.