Magnolia Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA MEDICAL CLINIC

Practice address

502 Alcorn Drive
Corinth, MS 38834-9323

Phone

(662) 287-5216

Fax

(662) 287-8406

NPI assigned

Jun 5, 2008

Last updated

Jul 21, 2015By 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

Mr. Ronny D. Humes

Title

Ceo/Me

Phone

(662) 293-7664

Specialties & licenses 1

Addresses

Part of

Magnolia Regionl Health

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1821257767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2040",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388352040",
            "telephone_number": "662-287-5216",
            "fax_number": "662-287-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ALCORN DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349323",
            "telephone_number": "662-287-5216",
            "fax_number": "662-287-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/ME",
        "authorized_official_telephone_number": "662-293-7664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia General and Vascular Surgery Clinic
• Magnolia Hospitalist Group
• Magnolia Imaging Associates, PLLC
• Magnolia Internal Medicine
• Magnolia Internal Medicine Clinic
• Magnolia Nephrology Clinic
• Magnolia Orthopaedics & Sports Medicine, P.a.
• Magnolia Pediatric Clinic
• Magnolia Physician Services, Inc
• Magnolia Primary Care

• 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 Jul 21, 2015; 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.