Magnolia Mental Health and Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC

Practice address

549 E Pass Rd
Gulfport, MS 39507-3261

Phone

(228) 338-6853

Fax

(228) 333-0682

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Charlotte Aeger Ross, PMHNPNPI 1689439945

Title

Owner

Phone

(228) 338-6853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Charlotte Marie Aeger Ross, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1689439945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1366380248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COWAN RD STE B",
            "address_2": "#202",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073441",
            "telephone_number": "228-338-6853",
            "fax_number": "228-333-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073261",
            "telephone_number": "228-338-6853",
            "fax_number": "228-333-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Debuys Rd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395314402",
            "country_code": "US",
            "telephone_number": "228-388-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "AEGER ROSS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-338-6853",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Faye Magee, LMT
• Natasha Magee
• Rachel C Magee
• Autumn Maghupoy
• Magnolia Grove Healthcare
• Lauren Mahan
• Brian Doyal Maher, MD
• Brittney Mahoney, OT
• Leonard Raymond Maiolatesi Jr.
• Tori Renee Maldonado, LMT

• Psychiatric/Mental Health Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.