NPIMap

Organization Active NPI

Magnolia Urgent Care

  • Internal Medicine Physician
  • Corinth, MS
National Provider Identifier
1083084339
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAGNOLIA URGENT CARE
Practice address
703 Alcorn Dr
Suite 109
Corinth, MS 38834-9302
Phone
(662) 286-1499
Fax
(662) 286-9041
NPI assigned
Sep 30, 2015
Organization subpart
Yes
Parent organization
MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Mr. Ronny Humes
Title
Ceo
Phone
(662) 293-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

703 Alcorn Dr
Suite 109
Corinth, MS 38834-9302

Mailing address

703 Alcorn Dr
Suite 109
Corinth, MS 38834-9302
Phone (662) 286-1499

National Provider Directory

National Provider Directory
Part of
Magnolia Hospital Ekg

Locations

703 Alcorn Dr
Ste 10
Corinth, MS 38834

703 Alcorn Dr
Corinth, MS 38834
Phone (662) 284-9906

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1083084339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-1499",
            "fax_number": "662-286-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR",
            "address_2": "SUITE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-1499",
            "fax_number": "662-286-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2015-09-30",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-293-7664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.