Magnolia Springs Skin & Wellness Center PC LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA SPRINGS SKIN & WELLNESS CENTER PC LLC

Practice address

12440 Magnolia Springs Hwy Ste 200
Magnolia Springs, AL 36555-6422

Phone

(251) 263-4991

Fax

(888) 339-7886

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Shari Woody

Title

Practice Administrator

Phone

(251) 263-4991

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18554/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1689141822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 MAGNOLIA SPRINGS HWY STE 200",
            "city": "MAGNOLIA SPRINGS",
            "state": "AL",
            "postal_code": "365556422",
            "telephone_number": "251-263-4991",
            "fax_number": "888-339-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 MAGNOLIA SPRINGS HWY STE 200",
            "city": "MAGNOLIA SPRINGS",
            "state": "AL",
            "postal_code": "365556422",
            "telephone_number": "251-263-4991",
            "fax_number": "888-339-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPRINGS SKIN & WELLNESS CENTER PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "251-263-4991"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Brown, LGSW
• Joy Lymon
• Magnolia Springs Dental, LLC
• Magnolia Springs Pediatrics PC
• Matthew Roberto Pischek
• Robert Louis Rux, M.D.
• Albert Bedford Walker Jr., M.D
• April Whitworth Weaver, CRNP

• Family Medicine Physician in Magnolia Springs, AL
• Providers in Magnolia Springs, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.