MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC
NPI 1093382681
Orthopaedic Surgery - Foot and Ankle Surgery in Midlothian, VA

Q: What is Magnolia Green Foot And Ankle Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Active since June 10, 2021

6055 HARBOUR PARK DR, MIDLOTHIAN, VA 23112(804) 500-0949(804) 500-0946 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Jun 10, 2021 (2 updates tracked since 2021).

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About Magnolia Green Foot And Ankle Center Llc NPPES

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

MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC (NPI 1093382681) is a healthcare organization registered as a foot and ankle surgery in Midlothian, Virginia and active in the NPI registry since June 2021. The organization lists Jungmin Yoo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093382681

Entity TypeOrganization

Primary Taxonomy207XX0004X

Legal Business NameMAGNOLIA GREEN FOOT AND ANKLE CENTER LLC

Location Address6055 HARBOUR PARK DRMidlothian, VA 23112-2160

Mailing Address6055 Harbour Park DrMidlothian, VA 23112-2160 · (804) 500-0949 · Fax (804) 500-0946

Phone(804) 500-0949

Fax(804) 500-0946

Organization SubpartNo

Authorized OfficialJungmin YooCeo · (804) 500-0949

Enumeration DateJune 10, 2021

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1093382681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

6055 HARBOUR PARK DR, Midlothian, VA 23112

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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 Green Foot And Ankle Center Llc 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 Green Foot And Ankle Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jungmin Yoo

Podiatry

NPI 1558752485

6055 HARBOUR PARK DR
Midlothian, VA 23112

(804) 500-0949

✔ PECOS✔ Accepts MedicareSame address

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 Green Foot And Ankle Center LLC's NPI number?

The NPI number for Magnolia Green Foot And Ankle Center LLC is 1093382681. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Magnolia Green Foot And Ankle Center LLC located?

Magnolia Green Foot And Ankle Center LLC is located at 6055 Harbour Park Dr, Midlothian, VA 23112. The listed phone number is (804) 500-0949.

What is Magnolia Green Foot And Ankle Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Magnolia Green Foot And Ankle Center LLC enrolled in Medicare?

Yes. Magnolia Green Foot And Ankle Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Green Foot And Ankle Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Magnolia Green Foot And Ankle Center 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. 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 Green Foot And Ankle Center LLC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.