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MAGNOLIA PEDIATRIC CLINIC
NPI 1104078328
Pediatrics in Corinth, MS

Active since October 21, 2008CLIA 25D1091410 · Certificate of Compliance
401 ALCORN DR STE 1B, CORINTH, MS 38834(662) 293-7390(662) 293-7399 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Jan 25, 2019 (2 updates tracked since 2019).

About Magnolia Pediatric Clinic NPPES

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

MAGNOLIA PEDIATRIC CLINIC (NPI 1104078328) is a healthcare organization registered as a pediatrics in Corinth, Mississippi and active in the NPI registry since October 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2027 and lists James Hobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104078328
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAGNOLIA REGIONAL HEALTH CENTER
Location Address401 ALCORN DR STE 1BCorinth, MS 38834-9071
Mailing Address401 Alcorn Dr Ste 2cCorinth, MS 38834-9073 · (662) 293-1553 · Fax (662) 293-7696
Phone(662) 293-7390
Fax(662) 293-7399
Organization SubpartNo
Authorized OfficialJames HobsonCeo · (662) 293-7664
Enumeration DateOctober 21, 2008
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1104078328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
401 ALCORN DR STE 1B, Corinth, MS 38834
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Other Names 1

Doing Business AsMagnolia Pediatric Clinic

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 ›

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 Compliance 25D1091410

Magnolia Pediatric Clinic · Corinth, MS
Active · expires Oct 25, 2027
CLIA Number25D1091410
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorBlakley A. Fowler
Laboratory Phone(662) 293-7390
Laboratory LocationMagnolia Pediatric Clinic401 Alcorn Drive, Ste 1B, Corinth, MS 38834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DR. ASHLEY RHODES MIZE DNP
Nurse Practitioner
401 ALCORN DR STE 1B
CORINTH, MS 38834
Alcorn County (662) 293-7390
LAUREN CANAAN DO
Pediatrics
401 ALCORN DR STE 1B
CORINTH, MS 38834
Alcorn County (651) 788-6537
MAGNOLIA REGIONAL HEALTH CENTER
Clinic/Center (Rural Health)
401 ALCORN DR STE 1B
CORINTH, MS 38834
Alcorn County (662) 293-7390
MAGNOLIA PEDIATRIC CLINIC
Clinic/Center (Rural Health)
401 ALCORN DR STE 1B
CORINTH, MS 38834
Alcorn County (662) 293-7390

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 Regional Health Center's NPI number?

The NPI number for Magnolia Regional Health Center is 1104078328. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Magnolia Pediatric Clinic.

Where is Magnolia Regional Health Center located?

Magnolia Regional Health Center is located at 401 Alcorn Dr Ste 1B, Corinth, MS 38834. The listed phone number is (662) 293-7390.

What is Magnolia Regional Health Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Magnolia Regional Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1091410) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Regional Health Center 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 Regional Health Center 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 Regional Health Center was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.