MAGNOLIA MEDICAL FOUNDATION
NPI 1114421021
Health Educator in Jackson, MS
NPI Status: Active since March 23, 2018
Contact Information
1230 RAYMOND RD STE 600
JACKSON, MS
ZIP 39204
Phone: (601) 613-3737
- Organization
- Health Educator
- Accepts Insurance
- CLIA Number: 25D2143034
- CLIA Cert. Type: Health Fair
- CLIA Exp. Date: 01-22-2028
About MAGNOLIA MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Magnolia Medical Foundation, a provider established in Jackson, Mississippi operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1114421021 assigned on March 2018. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Erica Thompson (Executive Director)
- NPI
- 1114421021
- Provider Name
- MAGNOLIA MEDICAL FOUNDATION
- Entity Type
- Organization
- Location Address
- 1230 RAYMOND RD STE 600 JACKSON, MS 39204
- Location Phone
- (601) 613-3737
- Mailing Address
- 1230 RAYMOND RD STE 600 JACKSON, MS 39204
- Mailing Phone
- (601) 613-3737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-23-2018
- Last Update Date
- 03-23-2018
- Code Navigator
Location Map
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
Health Educator
- Taxonomy Code
- 174H00000X
- Type
- Other Service Providers
- Taxonomy Description
- Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2143034
- Facility Type
- Health Fair
- Certificate Effective Date
- January 23, 2026
- Certificate Expiration Date
- January 22, 2028
- Laboratory Director
- ERICA Q. THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Medical Foundation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1114421021, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114421021, enumerated as an "organization" on March 23, 2018.
The provider is located at 1230 RAYMOND RD STE 600 JACKSON, MS 39204 and the phone number is (601) 613-3737.
Health Educator with taxonomy code 174H00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
