Organization Active NPI

Magnolia Health PLLC

  • Rehabilitation Chiropractor
  • Chattanooga, TN
National Provider Identifier
1144080060
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
MAGNOLIA HEALTH PLLC
Practice address
6404 E Brainerd Rd
Chattanooga, TN 37421-3940
Phone
(423) 643-2277
Fax
(423) 643-2666
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Shawn Raymond Jones, DCNPI 1780832451
Title
Owner
Phone
(423) 320-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

6404 E Brainerd Rd
Chattanooga, TN 37421-3940

Mailing address

2906 Ocoee St N
Cleveland, TN 37312-5376
Phone (423) 790-5000

Other practice location 1

2906 Ocoee St N
Cleveland, TN 37312-5376
Phone (423) 790-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024000588 TN Part B Supplier - Clinic/Group Practice 8527591965 Receives reassigned benefits from 2 practitioners
Practice locations: Chattanooga, TN; Cleveland, TN

National Provider Directory

National Provider Directory

Locations

6404 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 643-2277

Practitioners & affiliated clinicians

Practitioners 2

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1144080060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125376",
            "telephone_number": "423-790-5000",
            "fax_number": "423-643-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213940",
            "telephone_number": "423-643-2277",
            "fax_number": "423-643-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 Ocoee St N",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125376",
            "country_code": "US",
            "telephone_number": "423-790-5000",
            "fax_number": "423-643-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-320-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.