Magnolia Nephrology Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MAGNOLIA NEPHROLOGY CLINIC

Practice address

3704 Highway 72 W
Corinth, MS 38834-8556

Phone

(662) 665-8041

Fax

(662) 665-8049

NPI assigned

Jan 18, 2017

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Howard Nelson

Title

VP Physician Services

Phone

(662) 293-7618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Part of

Magnolia Regional Healt

Practitioners 6

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.

• Gregory J Hale, MD

  • Nephrology Physician
  • Oxford, MS
  • NPI 1275503104
  Medicare reassignment
• Mary Elizabeth Lindsey, D.O.

  • Rheumatology Physician
  • Pascagoula, MS
  • NPI 1508208992
  NPD
• Carmen Parks, FNP

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1629186382
  NPD
• William Lee Senf II, MD

  • Urology Physician
  • Corinth, MS
  • NPI 1295805190
  NPD
• Rachel Lynn Thibodeaux, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Round Rock, TX
  • NPI 1891067336
  NPD
• Rance Ballard Wilbourn, MD

  • Neurology Physician
  • Germantown, TN
  • NPI 1063676690
  NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1548706203",
    "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": "3704 HIGHWAY 72 W",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348556",
            "telephone_number": "662-665-8041",
            "fax_number": "662-665-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NEPHROLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2017-01-18",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "662-293-7618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Hospitalist Group
• Magnolia Imaging Associates, PLLC
• Magnolia Internal Medicine
• Magnolia Internal Medicine Clinic
• Magnolia Medical Clinic
• Magnolia Orthopaedics & Sports Medicine, P.a.
• Magnolia Pediatric Clinic
• Magnolia Physician Services, Inc
• Magnolia Primary Care
• Magnolia Professional Associates

• Nephrology Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Nephrology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.