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MAGNOLIA PRIMARY CARE LLC
NPI 1013518265
Internal Medicine in Huntsville, AL

Active since November 04, 2020CLIA 01D2207362 · Waiver
4101 BALMORAL DR SW STE B, HUNTSVILLE, AL 35801(256) 203-6676(833) 979-0980 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Jan 13, 2021, Nov 4, 2020 (3 updates tracked since 2020).

About Magnolia Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA PRIMARY CARE LLC (NPI 1013518265) is a healthcare organization registered as an internal medicine in Huntsville, Alabama and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Rohini Ramamoorthy, Physician, as its authorized official.

NPPES Registry Identity

NPI1013518265
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAGNOLIA PRIMARY CARE LLC
Location Address4101 BALMORAL DR SW STE BHuntsville, AL 35801-6535
Mailing Address4101 Balmoral Dr Sw Ste BHuntsville, AL 35801-6535 · (256) 203-6676
Phone(256) 203-6676
Fax(833) 979-0980
Organization SubpartNo
Authorized OfficialRohini RamamoorthyPhysician · (256) 203-6676
Enumeration DateNovember 4, 2020
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1013518265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4101 BALMORAL DR SW STE B, Huntsville, AL 35801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2207362

Magnolia Primary Care LLC · Huntsville, AL
Active · expires Dec 27, 2026
CLIA Number01D2207362
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorRohini Ramamoorthy
Laboratory Phone(256) 203-3949
Laboratory LocationMagnolia Primary Care LLC4101 Balmoral Drive Suite B, Huntsville, AL 35801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER RYDER NP-C
Nurse Practitioner (Family)
4101 BALMORAL DR SW STE B
HUNTSVILLE, AL 35801
Madison County (256) 599-8397

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Primary Care LLC's NPI number?

The NPI number for Magnolia Primary Care LLC is 1013518265. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Magnolia Primary Care LLC located?

Magnolia Primary Care LLC is located at 4101 Balmoral Dr SW Ste B, Huntsville, AL 35801. The listed phone number is (256) 203-6676.

What is Magnolia Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Magnolia Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2207362) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Primary Care LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.