MS MAGNOLIA MEDICAL,LLC
NPI 1386304129
General Practice in Laurel, MS

Active since December 21, 2021CLIA 25D2261176 · Waiver
516 N MAGNOLIA ST, LAUREL, MS 39440(601) 422-5990 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2022, Jul 14, 2022, Dec 21, 2021 (3 updates tracked since 2021).

About Ms Magnolia Medical,llc NPPES

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

MS MAGNOLIA MEDICAL,LLC (NPI 1386304129) is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Brittany A Ratcliff, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1386304129
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMS MAGNOLIA MEDICAL,LLC
Location Address516 N MAGNOLIA STLaurel, MS 39440-3559
Mailing Address516 N Magnolia StLaurel, MS 39440-3559 · (601) 342-5901
Organization SubpartNo
Authorized OfficialBrittany A RatcliffCredentialing · (601) 433-5679
Enumeration DateDecember 21, 2021
Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1386304129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
516 N MAGNOLIA ST, Laurel, MS 39440

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Ms Magnolia Medical,llc 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 Ms Magnolia Medical,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1275587206
516 N MAGNOLIA ST
Laurel, MS 39440
(601) 342-5901
✔ 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.

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 25D2261176

Ms Magnolia Medical LLC · Laurel, MS
Active · expires Feb 8, 2027
CLIA Number25D2261176
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorTomia Carter
Laboratory Phone(601) 342-5901
Laboratory LocationMs Magnolia Medical LLC516 N Magnolia St, Laurel, MS 39440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ms Magnolia Medical,llc's NPI number?

The NPI number for Ms Magnolia Medical,llc is 1386304129. It was assigned to this organization in the NPPES registry on December 21, 2021.

Where is Ms Magnolia Medical,llc located?

Ms Magnolia Medical,llc is located at 516 N Magnolia St, Laurel, MS 39440. The listed phone number is (601) 422-5990.

What is Ms Magnolia Medical,llc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ms Magnolia Medical,llc enrolled in Medicare?

Yes. Ms Magnolia Medical,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ms Magnolia Medical,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ms Magnolia Medical,llc. 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.

Does Ms Magnolia Medical,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2261176) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ms Magnolia Medical,llc accept?

Health plans from Molina Healthcare list Ms Magnolia Medical,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 Ms Magnolia Medical,llc was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.