Magnolia Pediatric Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MAGNOLIA PEDIATRIC CLINIC

Practice address

401 Alcorn Dr Ste 1B
Corinth, MS 38834-9071

Phone

(662) 293-7390

Fax

(662) 293-7399

NPI assigned

Sep 16, 2024

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

Brandon Reece

Title

Executive Director

Phone

(662) 293-7678

Specialties & licenses 2

Addresses

Tax ID family

Magnolia Pediatric Clinic2 organizations share this tax ID, including this one

Part of

Magnolia Hospital Ekg

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Magnolia Regional Health Center

  • Pediatrics Physician
  • Corinth, MS
  • NPI 1104078328
  NPD tax ID

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1841027646",
    "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": "662-293-1288",
            "fax_number": "662-293-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 1B",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349071",
            "telephone_number": "662-293-7390",
            "fax_number": "662-293-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PEDIATRIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-293-7678"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Internal Medicine
• Magnolia Internal Medicine Clinic
• Magnolia Medical Clinic
• Magnolia Nephrology Clinic
• Magnolia Orthopaedics & Sports Medicine, P.a.
• Magnolia Physician Services, Inc
• Magnolia Primary Care
• Magnolia Professional Associates
• Magnolia Professional Billing
• Magnolia Regional Behavioral Health Services

• Rural Health Clinic/Center in Corinth, MS
• Providers in Corinth, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.