Magnolia Health and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA HEALTH AND WELLNESS LLC

Practice address

516 Main St N # a
Carthage, TN 37030-1243

Phone

(615) 437-0227

Fax

(615) 437-0350

NPI assigned

Aug 22, 2025

Organization subpart

No

Name

Stephanie Ruckman, DNP,FNP-BCNPI 1154686673

Title

Owner/Operator

Phone

(615) 308-9668

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

• Stephanie Ruckman, NP

  • Primary Care Nurse Practitioner
  • Carthage, TN
  • NPI 1154686673

  TN

  Medicare reassignment NPD Authorized official
• Melissa Ford Ross, APRN

  • Family Nurse Practitioner
  • Carthage, TN
  • NPI 1982914065
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

• Magnolia Health and Wellness Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2025.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1124906722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAIN ST N # A",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301243",
            "telephone_number": "615-437-0227",
            "fax_number": "615-437-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MAIN ST N # A",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301243",
            "telephone_number": "615-437-0227",
            "fax_number": "615-437-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "RUCKMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "615-308-9668",
        "authorized_official_credential": "DNP,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Health and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaylan Linder, SLP-CCC
• Anna Kirby Locke, PA
• Kelley Renee Logan, FNP-BC
• Alan M Long
• Jon Alan Long, DDS
• Cozette West Manus, PHARM D
• Martha Michelle McCormick
• David W McDonald, DDS
• Mehta Care, LLC
• Michael R. Hassell, O.D., P.C.

• All providers in Carthage, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.