Magnolia Medical Internal Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAGNOLIA MEDICAL INTERNAL MEDICINE INC

Practice address

7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747

Phone

(318) 208-1804

Fax

(318) 203-5145

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Cody Tingle, MDNPI 1699031237

Title

Owner, Physician

Phone

(318) 208-1804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Tingle, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1699031237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1073471561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055747",
            "telephone_number": "318-208-1804",
            "fax_number": "318-203-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1401",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055747",
            "telephone_number": "318-208-1804",
            "fax_number": "318-203-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "TINGLE",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "318-208-1804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Diagonstic Services Inc.
• Magnolia Durable Medical Equipment Inc.
• Magnolia Family Support & Interventions, LLC
• Magnolia Intergrated Healthcare Services Inc
• Magnolia Manor Nursing & Rehab CNTR LLC
• Magnolia Medical LLC
• Magnolia Mental Health LLC
• Magnolia Recovery, LLC
• Magnolia Recovery, LLC
• Magnolia Rehabilitation Services Inc

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.