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MAGNOLIA PEDIATRICS
NPI 1467618298
Pediatrics in Conway, SC

Active since July 31, 2008CLIA 42D0945614 · Waiver
600 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-9099(866) 632-2923 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Pediatrics NPPES

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

MAGNOLIA PEDIATRICS (NPI 1467618298) is a healthcare organization registered as a pediatrics in Conway, South Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Stephen Alexander Corontzes, President, as its authorized official.

NPPES Registry Identity

NPI1467618298
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAGNOLIA PEDIATRICS
Location Address600 SINGLETON RIDGE RDConway, SC 29526-9154
Mailing Address600 Singleton Ridge RdConway, SC 29526-9154 · (843) 347-9099 · Fax (843) 347-9029
Phone(843) 347-9099
Fax(866) 632-2923
Organization SubpartNo
Authorized OfficialStephen Alexander CorontzesPresident · (843) 347-9099
Enumeration DateJuly 31, 2008
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1467618298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 13931
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
600 SINGLETON RIDGE RD, Conway, SC 29526
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Other Identifiers 5

Medicaid327877SC
Medicare UPIN3344SC
Medicare UPINE-5076SC
MedicaidGP2059SC
Medicaid139317SC

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 Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D0945614

Magnolia Pediatrics · Conway, SC
Active · expires Sep 23, 2027
CLIA Number42D0945614
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorStephen A. Corontzes
Laboratory Phone(843) 254-1206
Laboratory LocationMagnolia Pediatrics600 Singleton Ridge Road, Conway, SC 29526
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. STEPHEN ALEXANDER CORONTZES MD
Pediatrics
600 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-9099
MAQUETIA LOGUE
Nurse Practitioner (Family)
600 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-9099

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 Pediatrics's NPI number?

The NPI number for Magnolia Pediatrics is 1467618298. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Magnolia Pediatrics located?

Magnolia Pediatrics is located at 600 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (843) 347-9099.

What is Magnolia Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Magnolia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0945614) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Pediatrics accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Magnolia Pediatrics 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 Pediatrics was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.