MAGNOLIA PREMIER MEDICAL GROUP PLLC
NPI 1164293387
Family Medicine in Ridgeland, MS

Q: What is Magnolia Premier Medical Group PLLC's NPI number?

The NPI number for Magnolia Premier Medical Group PLLC is 1164293387. It was assigned to this organization in the NPPES registry on January 16, 2024.

Q: What is Magnolia Premier Medical Group PLLC's specialty?

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

Active since January 16, 2024

1000 HIGHLAND COLONY PKWY STE 35203, RIDGELAND, MS 39157(601) 613-5682(601) 372-3059 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Magnolia Premier Medical Group Pllc NPPES

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

MAGNOLIA PREMIER MEDICAL GROUP PLLC (NPI 1164293387) is a healthcare organization registered as a family medicine in Ridgeland, Mississippi and active in the NPI registry since January 2024. The organization lists Craig Damon Henry, Family Medicine Provider, as its authorized official.

NPPES Registry Identity

NPI1164293387

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAGNOLIA PREMIER MEDICAL GROUP PLLC

Location Address1000 HIGHLAND COLONY PKWY STE 35203Ridgeland, MS 39157-2073

Mailing Address4366 S Siwell RdByram, MS 39212-6213 · (601) 613-5681 · Fax (601) 372-3059

Phone(601) 613-5682

Fax(601) 372-3059

Organization SubpartNo

Authorized OfficialCraig Damon HenryFamily Medicine Provider · (601) 613-5681

Enumeration DateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1164293387 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.

1000 HIGHLAND COLONY PKWY STE 35203, Ridgeland, MS 39157

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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

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 Premier Medical Group PLLC's NPI number?

The NPI number for Magnolia Premier Medical Group PLLC is 1164293387. It was assigned to this organization in the NPPES registry on January 16, 2024.

Where is Magnolia Premier Medical Group PLLC located?

Magnolia Premier Medical Group PLLC is located at 1000 Highland Colony Pkwy Ste 35203, Ridgeland, MS 39157. The listed phone number is (601) 613-5682.

What is Magnolia Premier Medical Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Magnolia Premier Medical Group PLLC was last updated on January 16, 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.