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MAGNOLIA WOMENS HEALTH LLC
NPI 1114682648
Nurse Practitioner - Women's Health in Dalton, GA

Active since October 31, 2021CLIA 11D2245990 · Microscopy
303 W WAUGH ST, DALTON, GA 30720(706) 529-8076 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Magnolia Womens Health Llc NPPES

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

MAGNOLIA WOMENS HEALTH LLC (NPI 1114682648) is a healthcare organization registered as a women's health in Dalton, Georgia and active in the NPI registry since October 2021. The organization holds a CLIA Microscopy certificate valid through December 19, 2027 and lists Rachel Easterwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1114682648
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameMAGNOLIA WOMENS HEALTH LLC
Location Address303 W WAUGH STDalton, GA 30720-3116
Mailing Address303 W Waugh StDalton, GA 30720-3116 · (706) 529-8076
Phone(706) 529-8076
Organization SubpartNo
Authorized OfficialRachel EasterwoodOwner · (770) 401-0953
Enumeration DateOctober 31, 2021
Last NPPES UpdateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1114682648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
303 W WAUGH ST, Dalton, GA 30720
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Womens Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220105000899Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Magnolia Womens Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Rachel Easterwood, WHNP-BC
Nurse Practitioner
NPI 1053913160
303 W WAUGH ST
Dalton, GA 30720
(706) 529-8076
✔ PECOS✔ Accepts MedicareSame address
Jennifer Romine, CNM, WHNP
Certified Nurse Midwife (CNM)
NPI 1679119366
106 HOSPITAL DR STE 6
Chatsworth, GA 30705
(706) 517-6206
✔ PECOS✔ Accepts Medicare11 mi
Ashley Blevins
Nurse Practitioner
NPI 1073099677
374 PINE ST
Ringgold, GA 30736
(423) 598-0575
✔ PECOS✔ Accepts Medicare15 mi
Ashley Merrill, FNP-C
Nurse Practitioner
NPI 1033630447
979 E 3RD ST STE C725
Chattanooga, TN 37403
(423) 778-2580
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2245990

Magnolia Women's Health, LLC · Dalton, GA
Active · expires Dec 19, 2027
CLIA Number11D2245990
Laboratory TypeIndependent
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorRachel S. Easterwood
Laboratory Phone(706) 529-8076
Laboratory LocationMagnolia Women's Health, LLC220 W Morris Street, Dalton, GA 30720
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Womens Health LLC's NPI number?

The NPI number for Magnolia Womens Health LLC is 1114682648. It was assigned to this organization in the NPPES registry on October 31, 2021.

Where is Magnolia Womens Health LLC located?

Magnolia Womens Health LLC is located at 303 W Waugh St, Dalton, GA 30720. The listed phone number is (706) 529-8076.

What is Magnolia Womens Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Magnolia Womens Health LLC enrolled in Medicare?

Yes. Magnolia Womens Health LLC is registered in the Medicare PECOS enrollment system.

When is Magnolia Womens Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Magnolia Womens Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Magnolia Womens Health 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. The largest specialties are Nurse Practitioner (3) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Magnolia Womens Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2245990) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Womens Health LLC was last updated on July 9, 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.