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

NPI Status: Active since January 18, 2017

Contact Information

3704 HIGHWAY 72 W
CORINTH, MS
ZIP 38834
Phone: (662) 665-8041
Fax: (662) 665-8049

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  • Organization
  • Internal Medicine
  • Nephrology
  • Accepts Insurance
  • CLIA Number: 25D2054290
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-19-2026

About MAGNOLIA NEPHROLOGY CLINIC

This page provides the complete NPI Profile along with additional information for Magnolia Nephrology Clinic, an internist established in Corinth, Mississippi operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1548706203 assigned on January 2017. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Howard Nelson (Vp Physician Services)

NPI
1548706203
Provider Name
MAGNOLIA NEPHROLOGY CLINIC
Entity Type
Organization
Location Address
3704 HIGHWAY 72 W CORINTH, MS 38834
Location Phone
(662) 665-8041
Location Fax
(662) 665-8049
Mailing Address
401 ALCORN DR STE 2C CORINTH, MS 38834
Mailing Phone
(662) 293-7618
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-18-2017
Last Update Date
01-23-2019
Code Navigator

An internist like Magnolia Nephrology Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HOWARD NELSON

Authorized Official Title
VP PHYSICIAN SERVICES
Authorized Official Phone
(662) 293-7618

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2054290
Facility Type
Physician Office
Certificate Effective Date
April 20, 2024
Certificate Expiration Date
April 19, 2026
Laboratory Director
DR. BLAKLEY FOWLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Nephrology Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548706203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 4 + 0 + 1 + 2 + 2 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1548706203.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Registered Nurse
3704 HIGHWAY 72 W
CORINTH, MS 38834
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3704 HIGHWAY 72 W
CORINTH, MS 38834
Nurse Practitioner
3704 HIGHWAY 72 W
CORINTH, MS 38834
Internal Medicine
3704 HIGHWAY 72 W
CORINTH, MS 38834
Clinic/Center (Rural Health)
3704 HIGHWAY 72 W
CORINTH, MS 38834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548706203, enumerated as an "organization" on January 18, 2017.

The provider is located at 3704 HIGHWAY 72 W CORINTH, MS 38834 and the phone number is (662) 665-8041.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.