Magnolia Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MAGNOLIA URGENT CARE

Practice address

6400 Hwy 11 North
Picayune, MS 39466

Phone

(601) 699-9846

Fax

(601) 799-0052

NPI assigned

Mar 24, 2023

Last updated

Mar 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad A Haidar, MDNPI 1407837503

Title

Owner/ Member/ Physician

Phone

(601) 699-9846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Ahmad A Haidar, MD

  • Internal Medicine Physician
  • Carriere, MS
  • NPI 1407837503
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Daniel Duracher Jr., FNP

  • Family Nurse Practitioner
  • Picayune, MS
  • NPI 1053925487
  Medicare reassignment Care Compare group NPD
• Melissa Dawn Gaspar, APRN, CNM, FNP-C

  • Family Nurse Practitioner
  • Beaumont, MS
  • NPI 1356734081

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Christine L Ladner, FNP

  • Family Nurse Practitioner
  • Wiggins, MS
  • NPI 1891223186
  Medicare reassignment Care Compare group NPD
• Christian C. Langley, FNP

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1750798344
  Medicare reassignment Care Compare group NPD
• Jonathan Shawn Cagle, FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1659963882

  MS

  Medicare reassignment Care Compare group NPD
• David B. McNease Jr., FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1285267476

  MS

  Medicare reassignment Care Compare group NPD
• Shanen Wangler, NP-C

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1710376611

  MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1083317317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 HIGHWAY 11",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662349",
            "telephone_number": "601-699-9846",
            "fax_number": "601-799-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 HWY 11 NORTH",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-699-9846",
            "fax_number": "601-799-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ MEMBER/ PHYSICIAN",
        "authorized_official_telephone_number": "601-699-9846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reta Virginia Lumpkin, CFNP
• Amber Lupo, OTD/S
• Cari Thawn Macdonald, FNP
• Pierre Madere
• Magnolia Personal Care Home
• Manna Ministries
• Tracey Michelle Mark-Boston, LCSW
• Brianna Martin, CNA
• Hannah Massengale I, O.D.
• Maureen Cianci

• Urgent Care Clinic/Center in Picayune, MS
• Providers in Picayune, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.