NPIMap

Organization Active NPI

Holly Springs Eyecare PLLC

Doing business as Magnolia Eye Group

  • Optometrist
  • Calhoun City, MS
National Provider Identifier
1003788381
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOLLY SPRINGS EYECARE PLLC
Doing business as
Magnolia Eye Group
Practice address
400 N Main St
Calhoun City, MS 38916-9520
Phone
(662) 473-2181
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLLY SPRINGS EYECARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Taylor Edwards, ODNPI 1548995509
Title
Owner
Phone
(662) 473-2181

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

400 N Main St
Calhoun City, MS 38916-9520

Mailing address

400 N Main St
Calhoun City, MS 38916-9520
Phone (662) 473-2181

Other names 1

  • Magnolia Eye Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000181 MS Part B Supplier - Clinic/Group Practice 2668472374 Receives reassigned benefits from 6 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Calhoun City, MS; Hernando, MS; Holly Springs, MS; Senatobia, MS; Water Valley, MS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Holly Springs Eyecare PLLC5 organizations share this tax ID, including this one
Part of
Holly Springs Eyecare PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

175B Whaley Dr
Holly Springs, MS 38635
Phone (662) 252-3323

Practitioners & affiliated clinicians

Practitioners 5

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1003788381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169520",
            "telephone_number": "662-473-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169520",
            "telephone_number": "662-473-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS EYECARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLLY SPRINGS EYECARE PLLC",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-473-2181",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.