Magnolia Collective Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA COLLECTIVE HEALTH, LLC

Practice address

181 Bluffton Rd Ste G101-102
Bluffton, SC 29910-6221

Phone

(843) 757-5400

Fax

(843) 757-2240

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Susan Quinty, DO

Title

Owner

Phone

(978) 884-0552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Susan E Hackman-Quinty, DO

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1962483016

  Family Medicine, SC

  Medicare reassignment Care Compare group NPD
• Anna Wells-Sharp, NP

  • Family Nurse Practitioner
  • Bluffton, SC
  • NPI 1790019602

  SC

  Medicare reassignment Care Compare group NPD
• Michael K Mikkelson, MD

  • Family Medicine Physician
  • Bluffton, SC
  • NPI 1972561496

  Family Medicine

  NPD
• Grace Weston

  • Primary Care Nurse Practitioner
  • Bluffton, SC
  • NPI 1730051376
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1689413882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299101637",
            "telephone_number": "843-757-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BLUFFTON RD STE G101-102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106221",
            "telephone_number": "843-757-5400",
            "fax_number": "843-757-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COLLECTIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "QUINTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-884-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Bridgid Macdonald, BCBA
• Megan Ann Mack, OTR/L, MHA
• Jane Ellen Mackey, OT
• Davis H Maddux, BS, RTR, RDMS,RVT
• Kathleen Ruth Madison, LPC, CRC, MRC
• Alex Mallard
• Kevin Malone, DC
• Barbara McDowell Mancini, ATC
• Vincent Anthony Mancini, ATC
• Sarah Elizabeth Mang, BA, CSP

• Family Medicine Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.