MAGNOLIA MEDICAL INTERNAL MEDICINE INC
NPI 1073471561
Internal Medicine in Shreveport, LA

Q: What is Magnolia Medical Internal Medicine Inc's specialty?

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

Active since January 13, 2026

7591 FERN AVE STE 1401, SHREVEPORT, LA 71105(318) 208-1804(318) 203-5145 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Magnolia Medical Internal Medicine Inc NPPES

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

MAGNOLIA MEDICAL INTERNAL MEDICINE INC (NPI 1073471561) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since January 2026. The organization lists Cody Tingle, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1073471561

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMAGNOLIA MEDICAL INTERNAL MEDICINE INC

Location Address7591 FERN AVE STE 1401Shreveport, LA 71105-5747

Mailing Address7591 Fern Ave Ste 1401Shreveport, LA 71105-5747 · (318) 208-1804 · Fax (318) 203-5145

Phone(318) 208-1804

Fax(318) 203-5145

Organization SubpartNo

Authorized OfficialCody TingleOwner, Physician · (318) 208-1804

Enumeration DateJanuary 13, 2026

NPPES CertifiedJanuary 13, 2026

✔ NPI 1073471561 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.

7591 FERN AVE STE 1401, Shreveport, LA 71105

Open in Google Maps ↗

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

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 Medical Internal Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Medical Internal Medicine Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cody Tingle, M.D.

Internal Medicine

NPI 1699031237

7591 FERN AVE STE 1401
Shreveport, LA 71105

(318) 828-2827

✔ PECOS✔ Accepts Medicare0.2 mi

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

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 Medical Internal Medicine Inc's NPI number?

The NPI number for Magnolia Medical Internal Medicine Inc is 1073471561. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Magnolia Medical Internal Medicine Inc located?

Magnolia Medical Internal Medicine Inc is located at 7591 Fern Ave Ste 1401, Shreveport, LA 71105. The listed phone number is (318) 208-1804.

What is Magnolia Medical Internal Medicine Inc's specialty?

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

Is Magnolia Medical Internal Medicine Inc enrolled in Medicare?

Yes. Magnolia Medical Internal Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Medical Internal Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Magnolia Medical Internal Medicine Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Medical Internal Medicine Inc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.