Organization Active NPI

Magnolia Healthcare & Aesthetics, PLLC

  • Family Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1609598424
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAGNOLIA HEALTHCARE & AESTHETICS, PLLC
Practice address
34 Oleander Dr Ste 107
Clayton, NC 27527-4599
Phone
(919) 227-6434
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Authorized official

Name
Tonya Annette Pounds, NPNPI 1154846608
Title
Owner
Phone
(919) 227-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

34 Oleander Dr Ste 107
Clayton, NC 27527-4599

Mailing address

34 Oleander Dr Ste 107
Clayton, NC 27527-4599
Phone (919) 227-6434

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1234 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230130000148 NC Part B Supplier - Clinic/Group Practice 6800267816 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2270322Magnolia Healthcare & Aesthetics34 Oleander Dr Suite 107, Clayton, NC 27527Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

34 Oleander Dr
Ste 107
Clayton, NC 27527
Phone (919) 227-6434

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1609598424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 107",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-227-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 107",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-227-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTHCARE & AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-227-6434",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1234",
            "affiliation": "N",
            "endpointDescription": "1234",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34 Oleander Dr Ste 107",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275274599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; 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.