MAGNOLIA MEDICAL
NPI 1326870361
Clinic/Center - Primary Care in Greensboro, AL

Active since August 19, 2024CLIA 01D2313693 · Waiver
850 TUSCALOOSA ST STE A, GREENSBORO, AL 36744(601) 832-0662 Get Directions Write a Review

NPPES record last updated: October 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Magnolia Medical NPPES

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

MAGNOLIA MEDICAL (NPI 1326870361) is a healthcare organization registered as a primary care in Greensboro, Alabama and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Lauren Elizabeth Goddard, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1326870361
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAGNOLIA MEDICAL HOUSE CALLS, PLLC
Location Address850 TUSCALOOSA ST STE AGreensboro, AL 36744-1562
Mailing Address850 Tuscaloosa St Ste AGreensboro, AL 36744-1562 · (601) 832-0662
Organization SubpartNo
Authorized OfficialLauren Elizabeth GoddardOwner/president · (334) 218-0160
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 6, 20242 updates tracked since enumeration
NPPES CertifiedOctober 6, 2024
NPI 1326870361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
850 TUSCALOOSA ST STE A, Greensboro, AL 36744

Other Names 1

Doing Business AsMagnolia Medical

CLIA Laboratory Certificates CMS CLIA

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 01D2313693

Magnolia Medical House Calls, PLLC · Greensboro, AL
Active · expires Nov 4, 2026
CLIA Number01D2313693
Laboratory TypeNp House Call Service
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorLauren E. Goddard
Laboratory Phone(334) 218-0160
Laboratory LocationMagnolia Medical House Calls, PLLC850 Tuscaloosa Street, Suite A, Greensboro, AL 36744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
850 TUSCALOOSA ST STE A
GREENSBORO, AL 36744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326870361, enumerated as an "organization" on August 19, 2024.

The provider is located at 850 TUSCALOOSA ST STE A GREENSBORO, AL 36744 and the phone number is (601) 832-0662.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.