Active NPI
Magnolia Regional Health Center
- Infectious Disease Physician
- Corinth, MS
National Provider Identifier
1104279231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- MAGNOLIA REGIONAL HEALTH CENTER
- Practice address
- 611 Alcorn Dr
Corinth, MS 38834-9321 - Phone
- (662) 293-1000
- NPI assigned
- Jul 13, 2016
- Organization subpart
- Yes
- Parent organization
- MAGNOLIA REGIONAL HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Howard Nelson
- Title
- VP Physicain Services
- Phone
- (662) 293-7618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
611 Alcorn Dr
Corinth, MS 38834-9321
Mailing address
401 Alcorn Dr Ste 2C
Corinth, MS 38834-9073
Phone (662) 293-7618
Other names 1
- Magnolia Infectious Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Magnolia Hospital Ekg
Practitioners & affiliated clinicians
Practitioners 8
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": "1468368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548201600000",
"number": "1104279231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ALCORN DR STE 2C",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349073",
"telephone_number": "662-293-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349321",
"telephone_number": "662-293-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA REGIONAL HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
"enumeration_date": "2016-07-13",
"last_updated": "2019-01-23",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "VP PHYSICAIN SERVICES",
"authorized_official_telephone_number": "662-293-7618",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Infectious Disease",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia Infectious Disease",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Corinth, MS
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
- Magnolia Regional Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.