MAGNOLIA NETWORKS LLC
NPI 1053774422
Internal Medicine in Bridgeville, PA

Active since April 01, 2016CLIA 39D2170145 · Waiver
316 STATION ST, SUITE 200, BRIDGEVILLE, PA 15017(412) 914-8484(412) 914-8179 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2016, Apr 1, 2016 (2 updates tracked since 2016).

About Magnolia Networks Llc NPPES

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

MAGNOLIA NETWORKS LLC (NPI 1053774422) is a healthcare organization registered as an internal medicine in Bridgeville, Pennsylvania and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Louis Hunter Farmer, Partner, as its authorized official.

NPPES Registry Identity

NPI1053774422
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAGNOLIA NETWORKS LLC
Location Address316 STATION ST, SUITE 200Bridgeville, PA 15017-1833
Mailing Address316 Station St, Suite 200Bridgeville, PA 15017-1833 · (412) 914-8484 · Fax (412) 914-8179
Fax(412) 914-8179
Organization SubpartNo
Authorized OfficialLouis Hunter FarmerPartner · (412) 914-8484
Enumeration DateApril 1, 2016
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
✔ NPI 1053774422 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.
316 STATION ST, Bridgeville, PA 15017

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Networks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Magnolia Networks LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1902233992
316 STATION ST
Bridgeville, PA 15017
(412) 221-1021
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1518074467
95 WOODLAND DR
Pittsburgh, PA 15228
(412) 561-3540
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1184612475
651 HOLIDAY DR
Pittsburgh, PA 15220
(412) 922-8490
✔ PECOS✔ Accepts Medicare5.2 mi
Osteopathic Manipulative Medicine
NPI 1578692612
3840 WASHINGTON RD SUITE 300
Mc Murray, PA 15317
(724) 941-3273
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1487643862
1130 PERRY HWY
Pittsburgh, PA 15237
(412) 847-2615
✔ PECOS14 mi
Family Practice
NPI 1841255296
301 E DONNER AVE SUITE 101
Monessen, PA 15062
(724) 684-8999
✔ PECOS18 mi
Family Practice
NPI 1023057858
2380 MCGINLEY RD
Monroeville, PA 15146
(412) 349-3879
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1588622427
6998 CRIDER RD
Mars, PA 16046
(724) 778-3627
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 39D2170145

Magnolia Networks LLC · Bridgeville, PA
Active · expires Aug 4, 2027
CLIA Number39D2170145
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDr. Scott A. Cook
Laboratory Phone(724) 387-2455
Laboratory LocationMagnolia Networks LLC451 Washington Ave, Bridgeville, PA 15017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Networks LLC's NPI number?

The NPI number for Magnolia Networks LLC is 1053774422. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Magnolia Networks LLC located?

Magnolia Networks LLC is located at 316 Station St Suite 200, Bridgeville, PA 15017. The listed phone number is (412) 914-8484.

What is Magnolia Networks LLC's specialty?

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

Is Magnolia Networks LLC enrolled in Medicare?

Yes. Magnolia Networks LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Networks LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Magnolia Networks LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4), Internal Medicine (2) and Osteopathic Manipulative Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Magnolia Networks LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2170145) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Networks LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Magnolia Networks LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magnolia Networks LLC was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.