MAGNOLIA MEDICAL CLINICS
NPI 1245502723
Clinic/Center - Primary Care in Flowood, MS

Active since January 31, 2012
2629 COURTHOUSE CIR, FLOWOOD, MS 39232(601) 420-4300(601) 420-4310 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2021, Oct 29, 2020, Sep 2, 2020 and 2 more (5 updates tracked since 2019).

About Magnolia Medical Clinics NPPES

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

MAGNOLIA MEDICAL CLINICS (NPI 1245502723) is a healthcare organization registered as a primary care in Flowood, Mississippi and active in the NPI registry since January 2012. The organization lists Parvesh K. Goel, Md, as its authorized official.

NPPES Registry Identity

NPI1245502723
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePSP MEDICAL CLINIC
Location Address2629 COURTHOUSE CIRFlowood, MS 39232-9521
Mailing AddressPo Box 607Canton, MS 39046 · (601) 859-9888 · Fax (601) 859-9966
Fax(601) 420-4310
Organization SubpartNo
Authorized OfficialParvesh K. GoelMd · (601) 859-9888
Enumeration DateJanuary 31, 2012
Last NPPES UpdateApril 6, 20215 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1245502723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
2629 COURTHOUSE CIR, Flowood, MS 39232

Other Names 2

Doing Business AsMagnolia Medical Clinics
Doing Business AsFlowood Family Clinic

Other Identifiers 1

Other25D2047948MS · Clia

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20060814000125Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Magnolia Medical Clinics, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Mental Health Counselor3
Emergency Medicine1
Internal Medicine1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1992319321
2629 COURTHOUSE CIR
Flowood, MS 39232
(601) 420-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1679508097
2500 N STATE ST
Jackson, MS 39216
(601) 984-2538
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1043192982
501 MARSHALL ST STE 200
Jackson, MS 39202
(601) 914-9503
✔ PECOS✔ Accepts Medicare3.9 mi
Mental Health Counselor
NPI 1235537242
1269 WINTERVIEW DR
Jackson, MS 39211
(601) 937-2618
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1134152424
911 ELLIS AVE
Jackson, MS 39209
(601) 533-7016
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1730741810
4715 METHODIST HOME RD
Jackson, MS 39213
(769) 257-6288
✔ PECOS✔ Accepts Medicare6.7 mi
Mental Health Counselor
NPI 1265249288
505 MCLAURIN ST
Madison, MS 39110
(601) 291-9521
✔ PECOS✔ Accepts Medicare9.0 mi
Mental Health Counselor
NPI 1588939078
502 EDGEWOOD LN
Brandon, MS 39042
(601) 668-1221
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1548219082
1171 HART ST
Canton, MS 39046
(601) 859-9888
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1124691191
1171 HART ST
Canton, MS 39046
(601) 859-9888
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1619894607
1171 HART ST
Canton, MS 39046
(662) 229-7065
✔ PECOS20 mi
Nurse Practitioner
NPI 1710601885
PO BOX 607
Canton, MS 39046
(601) 859-9888
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1083250179
501 GREAT CIRCLE RD FL 3
Nashville, TN 37228
(615) 436-9060
✔ PECOS✔ Accepts Medicare327 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 Psp Medical Clinic's NPI number?

The NPI number for Psp Medical Clinic is 1245502723. It was assigned to this organization in the NPPES registry on January 31, 2012. The provider is doing business as Magnolia Medical Clinics and Flowood Family Clinic.

Where is Psp Medical Clinic located?

Psp Medical Clinic is located at 2629 Courthouse Cir, Flowood, MS 39232. The listed phone number is (601) 420-4300.

What is Psp Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Psp Medical Clinic enrolled in Medicare?

Yes. Psp Medical Clinic is registered in the Medicare PECOS enrollment system.

When is Psp Medical Clinic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Psp Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Psp Medical Clinic. 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. The largest specialties are Nurse Practitioner (8), Mental Health Counselor (3) and Emergency Medicine (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psp Medical Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Psp Medical Clinic 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 was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.