MAGNOLIA HEALTH AND WELLNESS LLC
NPI 1124906722
Family Medicine in Carthage, TN

Q: What is Magnolia Health And Wellness LLC's NPI number?

The NPI number for Magnolia Health And Wellness LLC is 1124906722. It was assigned to this organization in the NPPES registry on August 22, 2025. The provider was formerly known as Magnolia Health and Wellness.

Q: What is Magnolia Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 22, 2025CLIA 44D2328541 · Waiver

516 MAIN ST N # A, CARTHAGE, TN 37030(615) 437-0227(615) 437-0350 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Magnolia Health And Wellness Llc NPPES

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

MAGNOLIA HEALTH AND WELLNESS LLC (NPI 1124906722), doing business as Magnolia Health And Wellness, is a healthcare organization registered as a family medicine in Carthage, Tennessee and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Stephanie Ruckman, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1124906722

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAGNOLIA HEALTH AND WELLNESS LLC

Location Address516 MAIN ST N # ACarthage, TN 37030-1243

Mailing Address516 Main St N # ACarthage, TN 37030-1243 · (615) 437-0227 · Fax (615) 437-0350

Phone(615) 437-0227

Fax(615) 437-0350

Organization SubpartNo

Authorized OfficialStephanie RuckmanOwner/operator · (615) 308-9668

Enumeration DateAugust 22, 2025

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1124906722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

516 MAIN ST N # A, Carthage, TN 37030

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Other Names 1

Former Legal Business NameMagnolia Health And Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 44D2328541

Magnolia Health And Wellness · Carthage, TN

Active · expires Aug 11, 2027

CLIA Number44D2328541

Laboratory TypePractitioner Other

Certificate Effective DateAugust 12, 2025

Certificate Expiration DateAugust 11, 2027

Laboratory DirectorGrady Judson Bazzel

Laboratory Phone(615) 437-0227

Laboratory LocationMagnolia Health And Wellness516 A Main Street North, Carthage, TN 37030

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

STEPHANIE RUCKMAN NP

Nurse Practitioner (Primary Care)

516 MAIN ST N # A
CARTHAGE, TN 37030

Smith County (615) 437-0227

MRS. MELISSA FORD ROSS APRN

Nurse Practitioner (Family)

516 MAIN ST N # A
CARTHAGE, TN 37030

Smith County (615) 437-0227

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 Health And Wellness LLC's NPI number?

The NPI number for Magnolia Health And Wellness LLC is 1124906722. It was assigned to this organization in the NPPES registry on August 22, 2025. The provider was formerly known as Magnolia Health and Wellness.

Where is Magnolia Health And Wellness LLC located?

Magnolia Health And Wellness LLC is located at 516 Main St N # A, Carthage, TN 37030. The listed phone number is (615) 437-0227.

What is Magnolia Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Magnolia Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2328541) is associated with this NPI, valid through August 11, 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 Health And Wellness LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.