Magnolia Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA FAMILY CLINIC

Practice address

102 Norman Rd
Corinth, MS 38834-9372

Phone

(662) 293-1000

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Ronny Humes

Title

Ceo

Phone

(662) 293-1000

Specialties & licenses 1

Addresses

Tax ID family

Magnolia Family Clinic2 organizations share this tax ID, including this one

Part of

Magnolia Regionl Health

Other organizations with this tax ID 1

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

• Magnolia Family Clinic

  • Family Medicine Physician
  • Rienzi, MS
  • NPI 1508303348
  NPD tax ID

Locations

Practitioners 1

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.

• Marta Elsa Hans, M.D.

  • Pediatrics Physician
  • Corinth, MS
  • NPI 1578572483
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1104377472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NORMAN RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORMAN RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349372",
            "telephone_number": "662-293-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-293-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Cardiology Associates
• Magnolia Cardiovascular and Thoracic Clinic
• Magnolia Ear Nose & Throat
• Magnolia Endoscopy Center, LLC
• Magnolia ER Providers
• Magnolia Family Medical Practice
• Magnolia Family Medicine Clinic
• Magnolia Gastroenterology Clinic, LLC
• Magnolia General and Vascular Surgery Clinic
• Magnolia Hospitalist Group

• Family Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.