NPIMap

Organization Active NPI

Magnolia Medical, LLC

  • Prosthetic/Orthotic Supplier
  • Natchez, MS
National Provider Identifier
1205476702
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MAGNOLIA MEDICAL, LLC
Practice address
300 Highland Blvd Ste G
Natchez, MS 39120-4600
Phone
(601) 442-6493
Fax
(601) 445-0999
NPI assigned
Jan 13, 2020
Organization subpart
Yes
Parent organization
MAGNOLIA MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Xavier M Hoskins
Title
Managing Partner
Phone
(225) 615-8693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

300 Highland Blvd Ste G
Natchez, MS 39120-4600

Mailing address

304 Highland Blvd Ste B
Natchez, MS 39120-4624
Phone (601) 442-6493

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Medical LLC7 organizations share this tax ID, including this one
Part of
Magnolia Medical LLC

Other organizations with this tax ID 6

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

Locations

300 Highland Blvd
Ste G
Natchez, MS 39120
Phone (601) 442-6493

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1205476702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HIGHLAND BLVD STE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204624",
            "telephone_number": "601-442-6493",
            "fax_number": "601-445-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND BLVD STE G",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204600",
            "telephone_number": "601-442-6493",
            "fax_number": "601-445-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA MEDICAL, LLC",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "225-615-8693"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.