Organization Active NPI

Magnolia Neurology Clinic

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1003772799
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAGNOLIA NEUROLOGY CLINIC
Practice address
201 E Layfair Dr Ste 120
Flowood, MS 39232-7604
Phone
(601) 414-9263
Fax
(601) 414-9269
NPI assigned
Dec 27, 2025
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica S Lowery, NPNPI 1396162715
Title
Owner
Phone
(601) 414-9263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

201 E Layfair Dr Ste 120
Flowood, MS 39232-7604

Mailing address

201 E Layfair Dr Ste 120
Flowood, MS 39232-7604
Phone (601) 414-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260505000275 MS Part B Supplier - Clinic/Group Practice 1254809668 Receives reassigned benefits from 2 practitioners
Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Locations

201 E Layfair Dr
Ste 120
Flowood, MS 39232
Phone (601) 664-1855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1003772799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR STE 120",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-414-9263",
            "fax_number": "601-414-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAYFAIR DR STE 120",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327604",
            "telephone_number": "601-414-9263",
            "fax_number": "601-414-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NEUROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-414-9263",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.