Magnolia Medical

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MAGNOLIA MEDICAL

Practice address

185 Professional CT SE Ste C
Calhoun, GA 30701-7030

Phone

(706) 629-8622

Fax

(706) 629-8674

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dane Kendall Gregory, MD

Title

Physician

Phone

(706) 629-8622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1649445271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2726",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307032726",
            "telephone_number": "706-629-8622",
            "fax_number": "706-629-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PROFESSIONAL CT SE STE C",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017030",
            "telephone_number": "706-629-8622",
            "fax_number": "706-629-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "KENDALL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-629-8622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Madden, FNP-BC
• Pauline James Maddox, AGNP
• Spencer Collin Maddox, MD
• Justice C Madubuike, MD
• Susan Maehre, MS
• Taylor Maney, NP
• Dana Mangraviti, OTR/L
• Alexis Mann
• Lyto Marcius
• Marva Monrose Marcius, ARNP

• Medical Specialty Clinic/Center in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.