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MAGNOLIA URGENT CARE
NPI 1083317317
Clinic/Center - Urgent Care in Picayune, MS

Active since March 24, 2023CLIA 25D2279592 · Waiver
6400 HWY 11 NORTH, PICAYUNE, MS 39466(601) 699-9846(601) 799-0052 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Mar 24, 2023 (2 updates tracked since 2023).

About Magnolia Urgent Care NPPES

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

MAGNOLIA URGENT CARE (NPI 1083317317) is a healthcare organization registered as an urgent care in Picayune, Mississippi and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Ahmad A Haidar, Owner/ Member/ Physician, as its authorized official.

NPPES Registry Identity

NPI1083317317
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAGNOLIA URGENT CARE
Location Address6400 HWY 11 NORTHPicayune, MS 39466
Mailing Address6370 Highway 11Picayune, MS 39466-2349 · (601) 699-9846 · Fax (601) 799-0052
Phone(601) 699-9846
Fax(601) 799-0052
Organization SubpartNo
Authorized OfficialAhmad A HaidarOwner/ Member/ Physician · (601) 699-9846
Enumeration DateMarch 24, 2023
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1083317317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
6400 HWY 11 NORTH, Picayune, MS 39466
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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 25D2279592

Magnolia Urgent Care · Picayune, MS
Active · expires Apr 3, 2027
CLIA Number25D2279592
Laboratory TypeUrgent Care
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorDr. Ahmad A. Haidar
Laboratory Phone(601) 699-9846
Laboratory LocationMagnolia Urgent Care6400 Hwy 11N, Picayune, MS 39466
CLIA data matches this NPI record on: Name Phone
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 Urgent Care's NPI number?

The NPI number for Magnolia Urgent Care is 1083317317. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Magnolia Urgent Care located?

Magnolia Urgent Care is located at 6400 Hwy 11 North, Picayune, MS 39466. The listed phone number is (601) 699-9846.

What is Magnolia Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Magnolia Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2279592) is associated with this NPI, valid through April 3, 2027. 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 Urgent Care was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.