Magnolia Family Practice

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MAGNOLIA FAMILY PRACTICE

Practice address

1841 Glynwood Dr
Prattville, AL 36066-5584

Phone

(334) 568-5025

Fax

(334) 568-5021

NPI assigned

Feb 26, 2024

Last updated

Apr 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Maguire Groff, NPNPI 1558545160

Title

Owner

Phone

(334) 568-5025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Maguire Groff, FNP

  • Nurse Practitioner
  • Prattville, AL
  • NPI 1558545160
  Medicare reassignment NPD Authorized official
• Sylvie Stacy, M.D.

  • Public Health & General Preventive Medicine Physician
  • Birmingham, AL
  • NPI 1568755163
  Medicare reassignment NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1205692407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 GLYNWOOD DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665584",
            "telephone_number": "334-568-5025",
            "fax_number": "334-569-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 GLYNWOOD DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665584",
            "telephone_number": "334-568-5025",
            "fax_number": "334-568-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAGUIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-568-5025",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly W Lovett, PT, DPT
• Ann F Lucas, PT
• Cory Allen Luckie, MD
• Kristin Lynch, DPT
• John Angus Maclennan, MD
• Zion Martin, LPC, NCC
• Kodie Autumn Matthews
• Japneet Singh Mawi, DC
• Sheri Mayhan
• Caroline Brittany McBrien

• Nurse Practitioner in Prattville, AL
• Providers in Prattville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.