Magnolia Medical House Calls, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAGNOLIA MEDICAL HOUSE CALLS, PLLC

Doing business as

Magnolia Medical

Practice address

850 Tuscaloosa St Ste a
Greensboro, AL 36744-1562

Phone

(601) 832-0662

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Lauren Elizabeth Goddard, NPNPI 1295194447

Title

Owner/President

Phone

(334) 218-0160

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Lauren Goddard, CRNP

  • Nurse Practitioner
  • Greensboro, AL
  • NPI 1295194447
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728172800000",
    "number": "1326870361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TUSCALOOSA ST STE A",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441562",
            "telephone_number": "601-832-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TUSCALOOSA ST STE A",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441562",
            "telephone_number": "601-832-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL HOUSE CALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "334-218-0160",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendi Chanell Lee
• Jia Liu, MS, CCC-SLP
• Amy Long
• Anna Leigh Lovett, M.D.
• Jessica Lunsford
• Emily Marshall
• Thomas Martin
• Billy Jack McClinton III, CPHT
• Casandra Melton
• Stephanie Mills

• Primary Care Clinic/Center in Greensboro, AL
• Providers in Greensboro, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.