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MAGNOLIA ORTHOPAEDICS & SPORTS MEDICINE, P.A.
NPI 1063433233
Orthopaedic Surgery - Sports Medicine in Corinth, MS

Active since July 22, 2006
611 ALCORN DR, SUITE 100, CORINTH, MS 38834(662) 286-6369(662) 286-2768 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Orthopaedics & Sports Medicine, P.a. NPPES

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

MAGNOLIA ORTHOPAEDICS & SPORTS MEDICINE, P.A. (NPI 1063433233) is a healthcare organization registered as a sports medicine in Corinth, Mississippi and active in the NPI registry since July 2006. The organization lists Charlie Gooch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063433233
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameMAGNOLIA ORTHOPAEDICS & SPORTS MEDICINE, P.A.
Location Address611 ALCORN DR, SUITE 100Corinth, MS 38834-9321
Mailing Address611 Alcorn Dr, Suite 100Corinth, MS 38834-9321 · (662) 286-6369 · Fax (662) 286-2768
Phone(662) 286-6369
Fax(662) 286-2768
Organization SubpartNo
Authorized OfficialCharlie GoochOffice Manager · (662) 286-6369
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 15, 2013
✔ NPI 1063433233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
611 ALCORN DR, Corinth, MS 38834
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Other Identifiers 2

Medicare NSC0381770001MS
Medicaid09013928MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

JESSICA SUZANNE JENSEN MD
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
CHRISTOPHER TAYLOR SMITH DO
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-7686
MRS. BROOKE NAPIER HATCHELL DNP, CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
AUSTIN WINEGAR
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (208) 550-2969
MR. CHRISTOPHER HARRISON WRIGHT CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 664-3731
MAGNOLIA REGIONAL BEHAVIORAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
JOHN WAYNE PRATHER M.D.
Internal Medicine (Cardiovascular Disease)
611 ALCORN DR, SUITE 230
CORINTH, MS 38834
Alcorn County (662) 287-5218
AMANDA C JOHNSON CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1440

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 Orthopaedics & Sports Medicine, P.A.'s NPI number?

The NPI number for Magnolia Orthopaedics & Sports Medicine, P.A. is 1063433233. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Magnolia Orthopaedics & Sports Medicine, P.A. located?

Magnolia Orthopaedics & Sports Medicine, P.A. is located at 611 Alcorn Dr Suite 100, Corinth, MS 38834. The listed phone number is (662) 286-6369.

What is Magnolia Orthopaedics & Sports Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

What insurance does Magnolia Orthopaedics & Sports Medicine, P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Magnolia Orthopaedics & Sports Medicine, P.A. 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 Orthopaedics & Sports Medicine, P.A. was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.