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THE MEDICAL PAVILION
NPI 1225157258
Nurse Practitioner - Family in Raleigh, MS

Active since March 29, 2007
234 MAGNOLIA DR, RALEIGH, MS 39153(601) 782-9797(601) 782-9790 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Medical Pavilion NPPES

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

THE MEDICAL PAVILION (NPI 1225157258) is a healthcare organization registered as a family in Raleigh, Mississippi and active in the NPI registry since March 2007. The organization lists Sharon L Scruggs, Family Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1225157258
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAGEE BENEVOLENT ASSOCIATION
Location Address234 MAGNOLIA DRRaleigh, MS 39153-6016
Mailing Address234 Magnolia DrRaleigh, MS 39153-6016 · (601) 782-9797 · Fax (601) 782-9790
Phone(601) 782-9797
Fax(601) 782-9790
Organization SubpartNo
Authorized OfficialSharon L ScruggsFamily Nurse Practioner · (601) 782-9797
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 30, 2011
✔ NPI 1225157258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R764114
234 MAGNOLIA DR, Raleigh, MS 39153
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Other Names 1

Doing Business AsThe Medical Pavilion

Other Identifiers 3

Medicaid00117436MS
Medicare PINC03318MS
Medicaid07585555MS

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

Other Providers at the Same Location NPPES 3

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

DONNA L BAUCUM FNP
Nurse Practitioner
234 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 782-9797
DEBRA MIMS DEVELIN CRNP
Nurse Practitioner (Family)
234 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 374-8145
GERIATRIC CONNECTIONS, LLC
Nurse Practitioner (Family)
234 MAGNOLIA DR
RALEIGH, MS 39153
Smith County (601) 374-8145

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 Magee Benevolent Association's NPI number?

The NPI number for Magee Benevolent Association is 1225157258. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as The Medical Pavilion.

Where is Magee Benevolent Association located?

Magee Benevolent Association is located at 234 Magnolia Dr, Raleigh, MS 39153. The listed phone number is (601) 782-9797.

What is Magee Benevolent Association's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Magee Benevolent Association was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.