MAGNOLIA FAMILY PRACTICE
NPI 1205692407
Nurse Practitioner in Prattville, AL

Q: What is Magnolia Family Practice's NPI number?

The NPI number for Magnolia Family Practice is 1205692407. It was assigned to this organization in the NPPES registry on February 26, 2024.

Q: What is Magnolia Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 26, 2024

1841 GLYNWOOD DR, PRATTVILLE, AL 36066(334) 568-5025(334) 568-5021 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2025, Feb 10, 2025, Aug 12, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Magnolia Family Practice NPPES

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

MAGNOLIA FAMILY PRACTICE (NPI 1205692407) is a healthcare organization registered as a nurse practitioner in Prattville, Alabama and active in the NPI registry since February 2024. The organization lists Jennifer Maguire Groff, Owner, as its authorized official.

NPPES Registry Identity

NPI1205692407

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMAGNOLIA FAMILY PRACTICE

Location Address1841 GLYNWOOD DRPrattville, AL 36066-5584

Mailing Address1841 Glynwood DrPrattville, AL 36066-5584 · (334) 568-5025 · Fax (334) 569-5021

Phone(334) 568-5025

Fax(334) 568-5021

Organization SubpartNo

Authorized OfficialJennifer Maguire GroffOwner · (334) 568-5025

Enumeration DateFebruary 26, 2024

Last NPPES UpdateApril 10, 20254 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1205692407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1841 GLYNWOOD DR, Prattville, AL 36066

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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Magnolia Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Groff, FNP

Nurse Practitioner

NPI 1558545160

1841 GLYNWOOD DR
Prattville, AL 36066

(334) 568-5025

✔ PECOS✔ Accepts MedicareSame address

Sylvie Stacy, M.D.

Preventive Medicine

NPI 1568755163

505 20TH ST N STE 1220
Birmingham, AL 35203

(508) 648-2546

✔ PECOS76 mi

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

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 Family Practice's NPI number?

The NPI number for Magnolia Family Practice is 1205692407. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Magnolia Family Practice located?

Magnolia Family Practice is located at 1841 Glynwood Dr, Prattville, AL 36066. The listed phone number is (334) 568-5025.

What is Magnolia Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Magnolia Family Practice enrolled in Medicare?

Yes. Magnolia Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Magnolia Family Practice, in Nurse Practitioner and Preventive Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Family Practice was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.