Magnolia Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAGNOLIA INTERNAL MEDICINE

Practice address

2000 E Shiloh Rd
Corinth, MS 38834-3724

Phone

(662) 293-1000

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By 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 Humes

Title

Chief Executive Officer

Phone

(662) 293-7664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Part of

Magnolia Regional Healt

Practitioners 5

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.

• Timothy Lee Noyes, M.D.

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1649294042
  Medicare reassignment Care Compare group NPD
• Elizabeth Brooke Wilbanks

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1174870802
  Medicare reassignment Care Compare group NPD
• Joy Hyacinth Smith, M.D.

  • Hospitalist Physician
  • Miami, FL
  • NPI 1134356090

  Internal Medicine, MS

  Medicare reassignment Care Compare group NPD
• Valerie Dye Norton, D.O.

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1770855173
  Medicare reassignment Care Compare group
• John Peyton Preece, D.O.

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1750723110
  Medicare reassignment NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1912443722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343724",
            "telephone_number": "662-293-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HUMES",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "662-293-7664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Family Medicine Clinic
• Magnolia Gastroenterology Clinic, LLC
• Magnolia General and Vascular Surgery Clinic
• Magnolia Hospitalist Group
• Magnolia Imaging Associates, PLLC
• Magnolia Internal Medicine Clinic
• Magnolia Medical Clinic
• Magnolia Nephrology Clinic
• Magnolia Orthopaedics & Sports Medicine, P.a.
• Magnolia Pediatric Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.