Ms Magnolia Medical,LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MS MAGNOLIA MEDICAL,LLC

Practice address

516 N Magnolia St
Laurel, MS 39440-3559

Phone

(601) 422-5990

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Brittany A Ratcliff

Title

Credentialing

Phone

(601) 433-5679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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.

• Tomia F Carter, PCNP

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1275587206
  Medicare reassignment NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1386304129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403559",
            "telephone_number": "601-342-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403559",
            "telephone_number": "601-422-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS MAGNOLIA MEDICAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "RATCLIFF",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "601-433-5679"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Morgan, RN
• Heather Morris, WHNP
• Kelly F Morris, NP-C
• William A Morrison, MD
• Wassim E Mouannes, MD
• Kourtney Flowers Murphy, MPT
• Victoria Eileen Murrieta Cordova, RBT
• Hossein Nasajpour, MD
• Areeba Nasir Zamar, MD
• Dorothy S Nassar, DMD

• General Practice Physician in Laurel, MS
• Providers in Laurel, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.