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MAGNOLIA MEDICAL CLINICS
NPI 1225320708
Clinic/Center - Rural Health in Canton, MS

Active since May 03, 2011CLIA Certified · 3 labs
1171 HART ST, CANTON, MS 39046(601) 859-9888(601) 859-9004 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Mar 9, 2023, Mar 1, 2023 and 3 more (6 updates tracked since 2020).

About Magnolia Medical Clinics NPPES

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

MAGNOLIA MEDICAL CLINICS (NPI 1225320708) is a healthcare organization registered as a rural health in Canton, Mississippi and active in the NPI registry since May 2011. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Parvesh K. Goel, Md, as its authorized official.

NPPES Registry Identity

NPI1225320708
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePSP MEDICAL CLINIC LLC
Location Address1171 HART STCanton, MS 39046-4805
Mailing AddressPo Box 607Canton, MS 39046-0607 · (662) 746-3555 · Fax (601) 859-9966
Phone(601) 859-9888
Fax(601) 859-9004
Organization SubpartNo
Authorized OfficialParvesh K. GoelMd · (662) 746-3555
Enumeration DateMay 3, 2011
Last NPPES UpdateFebruary 6, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1225320708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MS · 15405
1171 HART ST, Canton, MS 39046
Open in Google Maps ↗

Other Names 2

Doing Business AsMagnolia Medical Clinics
Doing Business AsMagnolia Medical Clinics Yazoo

Secondary Practice Locations 3

Location 12629 Courthouse CirFlowood, MS 39232-9521 · Phone (601) 420-4300 · Fax (601) 420-4310
Location 21435 Grand AveYazoo City, MS 39194-2651 · Phone (662) 746-3555 · Fax (662) 746-5211
Location 31082A Gluckstadt RdMadison, MS 39110-7243 · Phone (601) 707-5621 · Fax (601) 707-5627

Other Identifiers 5

Medicaid06572715MS
Medicaid07228530MS
Medicaid00118231MS
Medicaid02679823MS
Medicaid09238061MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 25D1052898

Magnolia Medical Clinic - Canton · Canton, MS
Active · expires Apr 6, 2028
CLIA Number25D1052898
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorMr. Parvesh K. Goel
Laboratory Phone(601) 859-9888
Laboratory LocationMagnolia Medical Clinic - Canton1171 Hart Street, Canton, MS 39046
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2014536

Magnolia Medical Clinic - Yazoo · Yazoo City, MS
Active · expires Oct 11, 2026
CLIA Number25D2014536
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorDr. Parvesh K. Goel
Laboratory Phone(662) 746-3555
Laboratory LocationMagnolia Medical Clinic - Yazoo1435 Grand Avenue, Yazoo City, MS 39194
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2047948

Magnolia Medical Clinic - Flowood · Flowood, MS
Active · expires Oct 4, 2026
CLIA Number25D2047948
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorDr. Parvesh K. Goel
Laboratory Phone(601) 420-4300
Laboratory LocationMagnolia Medical Clinic - Flowood2629 Courthouse Circle, Flowood, MS 39232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

PATRICIA WHITE ROGERS LMSW
Counselor (Mental Health)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
LATOYA SOJOURNEY FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
OKSHOON SCOTT FNP-C
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
MS. KIARA DIONTEA MERCHANT NP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
RUTH A CHONG FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
GOEL DIAGNOSTIC
Clinical Medical Laboratory
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
MRS. TONYA H. QUINN FNP
Nurse Practitioner (Family)
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888
DR. PARVESH K GOEL M.D.
Internal Medicine
1171 HART ST
CANTON, MS 39046
Madison County (601) 859-9888

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 Psp Medical Clinic LLC's NPI number?

The NPI number for Psp Medical Clinic LLC is 1225320708. It was assigned to this organization in the NPPES registry on May 3, 2011. The provider is doing business as Magnolia Medical Clinics and Magnolia Medical Clinics Yazoo.

Where is Psp Medical Clinic LLC located?

Psp Medical Clinic LLC is located at 1171 Hart St, Canton, MS 39046. The listed phone number is (601) 859-9888.

What is Psp Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Psp Medical Clinic LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Psp Medical Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Psp Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psp Medical Clinic LLC was last updated on February 6, 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.