1. Home
  2. Directory
  3. Mississippi
  4. Meridian
  5. Podiatrist
  6. NPI Profile

MAGNOLIA DME
NPI 1114201423
Podiatrist - Foot & Ankle Surgery in Meridian, MS

Active since October 05, 2011
2310 4TH ST, SUITE A, MERIDIAN, MS 39301(601) 286-3745 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Dme NPPES

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

MAGNOLIA DME (NPI 1114201423) is a healthcare organization registered as a foot & ankle surgery in Meridian, Mississippi and active in the NPI registry since October 2011. The organization lists Robert S Crockett, Member, as its authorized official.

NPPES Registry Identity

NPI1114201423
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameROBERT CROCKETT ENTERPRISE LLC
Location Address2310 4TH ST, SUITE AMeridian, MS 39301-5819
Mailing Address2310 4th St, Suite AMeridian, MS 39301-5819
Phone(601) 286-3745
Organization SubpartNo
Authorized OfficialRobert S CrockettMember · (601) 286-3745
Enumeration DateOctober 5, 2011
✔ NPI 1114201423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MS · 80193
2310 4TH ST, Meridian, MS 39301
Open in Google Maps ↗

Other Names 1

Doing Business AsMagnolia Dme

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

Other Providers at the Same Location NPPES

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

MAGNOLIA FOOT CLINIC LLC
Podiatrist (Foot & Ankle Surgery)
2310 4TH ST, SUITE A
MERIDIAN, MS 39301
Lauderdale County (601) 286-3745

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 Robert Crockett Enterprise LLC's NPI number?

The NPI number for Robert Crockett Enterprise LLC is 1114201423. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is doing business as Magnolia Dme.

Where is Robert Crockett Enterprise LLC located?

Robert Crockett Enterprise LLC is located at 2310 4th St Suite A, Meridian, MS 39301. The listed phone number is (601) 286-3745.

What is Robert Crockett Enterprise LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Robert Crockett Enterprise LLC was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.