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MAGNOLIA NEPHROLOGY CLINIC
NPI 1548706203
Internal Medicine - Nephrology in Corinth, MS

Active since January 18, 2017
3704 HIGHWAY 72 W, CORINTH, MS 38834(662) 665-8041(662) 665-8049 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2019, Jan 18, 2017 (2 updates tracked since 2017).

About Magnolia Nephrology Clinic NPPES

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

MAGNOLIA NEPHROLOGY CLINIC (NPI 1548706203) is a healthcare organization registered as a nephrology in Corinth, Mississippi and active in the NPI registry since January 2017. The organization lists Howard Nelson, Vp Physician Services, as its authorized official.

NPPES Registry Identity

NPI1548706203
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMAGNOLIA NEPHROLOGY CLINIC
Location Address3704 HIGHWAY 72 WCorinth, MS 38834-8556
Mailing Address401 Alcorn Dr Ste 2cCorinth, MS 38834-9073 · (662) 293-7618
Phone(662) 665-8041
Fax(662) 665-8049
Organization SubpartYesParent: Magnolia Regional Health Center
Authorized OfficialHoward NelsonVp Physician Services · (662) 293-7618
Enumeration DateJanuary 18, 2017
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
✔ NPI 1548706203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3704 HIGHWAY 72 W, Corinth, MS 38834
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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 Molina Healthcare.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 Nephrology Clinic 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 Nephrology Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Hale, MD
Internal Medicine
NPI 1275503104
1306 BELK BLVD STE A
Oxford, MS 38655
(662) 236-6636
✔ PECOS✔ Accepts Medicare68 mi

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 Nephrology Clinic's NPI number?

The NPI number for Magnolia Nephrology Clinic is 1548706203. It was assigned to this organization in the NPPES registry on January 18, 2017.

Where is Magnolia Nephrology Clinic located?

Magnolia Nephrology Clinic is located at 3704 Highway 72 W, Corinth, MS 38834. The listed phone number is (662) 665-8041.

What is Magnolia Nephrology Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Magnolia Nephrology Clinic enrolled in Medicare?

Yes. Magnolia Nephrology Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Nephrology Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Magnolia Nephrology Clinic. 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 Nephrology Clinic accept?

Health plans from Molina Healthcare list Magnolia Nephrology Clinic 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 Nephrology Clinic was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.