Magnolia ER Providers

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MAGNOLIA ER PROVIDERS

Practice address

611 Alcorn Dr
Corinth, MS 38834-9321

Phone

(662) 293-1175

Fax

(662) 293-4323

NPI assigned

Feb 7, 2017

Last updated

Dec 9, 2020By 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

Ronny Humes

Title

Ceo

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": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1891233078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1175",
            "fax_number": "662-293-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1175",
            "fax_number": "662-293-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ER PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-293-7664"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Anesthesiology Associates, P.a.
• Magnolia Cardiology Associates
• Magnolia Cardiovascular and Thoracic Clinic
• Magnolia Ear Nose & Throat
• Magnolia Endoscopy Center, LLC
• Magnolia Family Clinic
• Magnolia Family Medical Practice
• Magnolia Family Medicine Clinic
• Magnolia Gastroenterology Clinic, LLC
• Magnolia General and Vascular Surgery Clinic

• Emergency Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.