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MAGNOLIA MEDICAL CLINIC LLC
NPI 1356179295
Clinic/Center in Columbia, MS

Active since July 23, 2024
431 BROAD ST, COLUMBIA, MS 39429(601) 736-8212 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Medical Clinic Llc NPPES

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

MAGNOLIA MEDICAL CLINIC LLC (NPI 1356179295) is a healthcare organization registered as a clinic/center in Columbia, Mississippi and active in the NPI registry since July 2024. The organization lists Kristyn Bumpers, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1356179295
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAGNOLIA MEDICAL CLINIC LLC
Location Address431 BROAD STColumbia, MS 39429-3056
Mailing Address79 Highpointe DrHattiesburg, MS 39402-9536
Phone(601) 736-8212
Organization SubpartNo
Authorized OfficialKristyn BumpersPharmacist · (601) 441-4400
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1356179295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
431 BROAD ST, Columbia, MS 39429
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Other Providers at the Same Location NPPES 4

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

MAGNOLIA MEDSHOPPE LLC
Pharmacy (Community/Retail Pharmacy)
431 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 736-8212
MS. CHRISTA STAPLES CPNP, FNP-C, NNP
Nurse Practitioner (Family)
431 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 466-3424
RHEMA HEALTH AND WELLNESS
Clinic/Center (Primary Care)
431 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 466-3424
DR. KRISTYN MCDANIEL BUMPERS PHARMD
Pharmacist
431 BROAD ST
COLUMBIA, MS 39429
Marion County (601) 736-8212

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 Medical Clinic LLC's NPI number?

The NPI number for Magnolia Medical Clinic LLC is 1356179295. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Magnolia Medical Clinic LLC located?

Magnolia Medical Clinic LLC is located at 431 Broad St, Columbia, MS 39429. The listed phone number is (601) 736-8212.

What is Magnolia Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Medical Clinic LLC was last updated on July 23, 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.