Magnolia Cardiology Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MAGNOLIA CARDIOLOGY ASSOCIATES

Practice address

611 Alcorn Dr
230
Corinth, MS 38834-9323

Phone

(662) 287-5218

Fax

(662) 286-3186

NPI assigned

Nov 22, 2011

Last updated

May 14, 2021By 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

Mr. Ronny D. Humes

Title

Ceo/Me

Phone

(662) 293-7664

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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.

• Kimberly Kuykendall Marlar, FNP

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1356667455
  Medicare reassignment Care Compare group NPD
• Paul Volansky, D.O

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1588006043
  Medicare reassignment Care Compare group NPD
• Alan Q. Thomas, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1528066313

  MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1508133380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "662-293-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "address_2": "230",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349323",
            "telephone_number": "662-287-5218",
            "fax_number": "662-286-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/ME",
        "authorized_official_telephone_number": "662-293-7664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mca@magnolia.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "611 Alcorn Dr",
            "address_2": "230",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388349323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher A Lucas, DPT
• Maggie Aleixandrea Macias, MSN, APRN, FNP-C
• Michael Coty Maddox, DO
• Magnolia Ambulance Services
• Magnolia Anesthesiology Associates, P.a.
• Magnolia Cardiovascular and Thoracic Clinic
• Magnolia Ear Nose & Throat
• Magnolia Endoscopy Center, LLC
• Magnolia ER Providers
• Magnolia Family Clinic

• Cardiovascular Disease Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.