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MAGNOLIA FAMILY MEDICAL CLINIC
NPI 1023228632
Family Medicine in Greenville, MS

Active since May 23, 2007
1660 S COLORADO ST, GREENVILLE, MS 38703(662) 332-2077(662) 332-0790 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Family Medical Clinic NPPES

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

MAGNOLIA FAMILY MEDICAL CLINIC (NPI 1023228632) is a healthcare organization registered as a family medicine in Greenville, Mississippi and active in the NPI registry since May 2007. The organization lists John B Kayoma, Owner, as its authorized official.

NPPES Registry Identity

NPI1023228632
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA FAMILY MEDICAL CLINIC
Location Address1660 S COLORADO STGreenville, MS 38703-7216
Mailing Address1660 S Colorado StGreenville, MS 38703-7216 · (662) 332-2077 · Fax (662) 332-0790
Phone(662) 332-2077
Fax(662) 332-0790
Organization SubpartNo
Authorized OfficialJohn B KayomaOwner · (662) 332-2077
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 31, 2007
✔ NPI 1023228632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 17503
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1660 S COLORADO ST, Greenville, MS 38703
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Other Identifiers 3

Medicaid01722576MS
Other578968167BMS · Blue Cross Of Ms
Medicare ID-Type UnspecifiedC03440MS

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

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 Family Medical Clinic's NPI number?

The NPI number for Magnolia Family Medical Clinic is 1023228632. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Magnolia Family Medical Clinic located?

Magnolia Family Medical Clinic is located at 1660 S Colorado St, Greenville, MS 38703. The listed phone number is (662) 332-2077.

What is Magnolia Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Family Medical Clinic was last updated on December 31, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.