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MAGNOLIA PROFESSIONAL ASSOCIATES
NPI 1366463549
Surgery in Corinth, MS

Active since July 22, 2006
703 ALCORN DRIVE, 109, CORINTH, MS 38834(662) 286-2522(662) 293-4288 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2021, Jan 25, 2019 (2 updates tracked since 2019).

About Magnolia Professional Associates NPPES

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

MAGNOLIA PROFESSIONAL ASSOCIATES (NPI 1366463549) is a healthcare organization registered as a surgery in Corinth, Mississippi and active in the NPI registry since July 2006. The organization lists Jason Coley, Executive Director Physician Servic, as its authorized official.

NPPES Registry Identity

NPI1366463549
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMAGNOLIA PROFESSIONAL ASSOCIATES
Location Address703 ALCORN DRIVE, 109Corinth, MS 38834-9323
Mailing AddressP.o. Box 2040Corinth, MS 38835-2040 · (662) 286-2522 · Fax (662) 293-4288
Phone(662) 286-2522
Fax(662) 293-4288
Organization SubpartNo
Authorized OfficialJason ColeyExecutive Director Physician Servic · (662) 293-7678
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1366463549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
703 ALCORN DRIVE, Corinth, MS 38834
Open in Google Maps ↗

Other Identifiers 1

Medicaid05323894MS

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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Professional Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mathew Johnson, M.D.
General Surgery
NPI 1134142334
703 ALCORN DR SUITE 102
Corinth, MS 38834
(662) 286-2522
✔ PECOS✔ Accepts MedicareSame address

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 Magnolia Professional Associates's NPI number?

The NPI number for Magnolia Professional Associates is 1366463549. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Magnolia Professional Associates located?

Magnolia Professional Associates is located at 703 Alcorn Drive 109, Corinth, MS 38834. The listed phone number is (662) 286-2522.

What is Magnolia Professional Associates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Magnolia Professional Associates enrolled in Medicare?

Yes. Magnolia Professional Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Professional Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Magnolia Professional Associates. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Magnolia Professional Associates 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 Magnolia Professional Associates 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 Magnolia Professional Associates was last updated on May 14, 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.