Magnolia Family Medical Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA FAMILY MEDICAL PRACTICE

Practice address

121 Pratt Dr Ste 1a
Corinth, MS 38834-6026

Phone

(662) 286-0088

Fax

(662) 286-0067

NPI assigned

Sep 14, 2017

Last updated

Sep 14, 2017By 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

Ronny Humes

Title

Ceo

Phone

(662) 293-7664

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Part of

Magnolia Regional Healt

Locations

Practitioners 10

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.

• Laquita Gay Bain, FNP

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1437238938
  Medicare reassignment Care Compare group
• Lauren Kutrip Horton, FNP- C

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1356853345
  Medicare reassignment Care Compare group
• Joseph Brooks Pratt, MD

  • Family Medicine Physician
  • Corinth, MS
  • NPI 1730703158
  Medicare reassignment Care Compare group
• Joseph L Pratt, MD

  • Family Medicine Physician
  • Corinth, MS
  • NPI 1417953233
  Medicare reassignment Care Compare group
• Misty L. Rowsey, FNP-BC

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1689791733
  Medicare reassignment Care Compare group
• Erica Lynn Yates, M.D.

  • Family Medicine Physician
  • Corinth, MS
  • NPI 1306869375
  Medicare reassignment Care Compare group
• William Davis, M.D.

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1407237365
  Medicare reassignment
• Katherine Hilda Dawson, NP-C

  • Family Nurse Practitioner
  • Iuka, MS
  • NPI 1912418781
  Medicare reassignment
• Carmen Parks, FNP

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1629186382
  Medicare reassignment
• Preston Wright, D.O.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1306296496

  MS

  Medicare reassignment

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1669991337",
    "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": "662-293-7266",
            "fax_number": "662-293-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PRATT DR STE 1A",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346026",
            "telephone_number": "662-286-0088",
            "fax_number": "662-286-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY MEDICAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-293-7664"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Cardiovascular and Thoracic Clinic
• Magnolia Ear Nose & Throat
• Magnolia Endoscopy Center, LLC
• Magnolia ER Providers
• Magnolia Family Clinic
• Magnolia Family Medicine Clinic
• Magnolia Gastroenterology Clinic, LLC
• Magnolia General and Vascular Surgery Clinic
• Magnolia Hospitalist Group
• Magnolia Imaging Associates, PLLC

• Family Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.