Magnolia Optimized Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAGNOLIA OPTIMIZED CARE, PLLC

Practice address

120 Harvey Watkins Dr N
Canton, MS 39046-3624

Phone

(601) 213-4302

NPI assigned

Feb 11, 2026

Last updated

Feb 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keianna Luckett, DNPNPI 1992480859

Title

Nurse Practitioner

Phone

(601) 213-4302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Keianna Renae Luckett, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Jackson, MS
  • NPI 1992480859
  NPD Authorized official

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1831041946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HARVEY WATKINS DR N",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463624",
            "telephone_number": "601-213-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HARVEY WATKINS DR N",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463624",
            "telephone_number": "601-213-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA OPTIMIZED CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "KEIANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-213-4302",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ruth Marie Mann, FNP
• Tressa Ann Matthews

• Primary Care Clinic/Center in Canton, MS
• Providers in Canton, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.