MAGNOLIA SPECIALTY CLINIC
NPI 1104464395
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corinth, MS

NPI Status: Active since December 18, 2019

Contact Information

3704 HIGHWAY 72 W
CORINTH, MS
ZIP 38834
Phone: (662) 665-8041
Fax: (662) 665-8049

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About MAGNOLIA SPECIALTY CLINIC

This page provides the complete NPI Profile along with additional information for Magnolia Specialty Clinic, an internist established in Corinth, Mississippi operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1104464395 assigned on December 2019. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Magnolia Specialty Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Marc Nakagawa (Cfo)

NPI
1104464395
Provider Name
MAGNOLIA SPECIALTY CLINIC
Entity Type
Organization
Location Address
3704 HIGHWAY 72 W CORINTH, MS 38834
Location Phone
(662) 665-8041
Location Fax
(662) 665-8049
Mailing Address
401 ALCORN DR STE 2C CORINTH, MS 38834
Mailing Phone
(662) 293-7618
Mailing Fax
(662) 665-8049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2019
Last Update Date
05-14-2021
Code Navigator

An internist like Magnolia Specialty Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARC NAKAGAWA

Authorized Official Title
CFO
Authorized Official Phone
(662) 293-7660

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104464395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 6 + 8 + 3 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104464395.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
3704 HIGHWAY 72 W
CORINTH, MS 38834
Registered Nurse
3704 HIGHWAY 72 W
CORINTH, MS 38834
Nurse Practitioner
3704 HIGHWAY 72 W
CORINTH, MS 38834
Internal Medicine
3704 HIGHWAY 72 W
CORINTH, MS 38834
Clinic/Center (Rural Health)
3704 HIGHWAY 72 W
CORINTH, MS 38834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104464395, enumerated as an "organization" on December 18, 2019.

The provider is located at 3704 HIGHWAY 72 W CORINTH, MS 38834 and the phone number is (662) 665-8041.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.