1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Preferred Provider Organization
  6. NPI Profile

MAGNOLIA MANOR OF TUPELO
NPI 1558545210
Preferred Provider Organization in Tupelo, MS

Active since December 18, 2007
1514 COUNTY ROAD 41, TUPELO, MS 38801(662) 842-6776(662) 842-6512 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Manor Of Tupelo NPPES

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

MAGNOLIA MANOR OF TUPELO (NPI 1558545210) is a healthcare organization registered as a preferred provider organization in Tupelo, Mississippi and active in the NPI registry since December 2007. The organization lists Donna Pharr, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1558545210
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMAGNOLIA MANOR OF TUPELO
Location Address1514 COUNTY ROAD 41Tupelo, MS 38801-0681
Mailing Address1514 County Road 41Tupelo, MS 38801-0681 · (662) 842-6776 · Fax (662) 842-6512
Phone(662) 842-6776
Fax(662) 842-6512
Organization SubpartNo
Authorized OfficialDonna PharrExecutive Director · (662) 842-6776
Enumeration DateDecember 18, 2007
✔ NPI 1558545210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MS · 1000
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1514 COUNTY ROAD 41, Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 1

Medicaid03083202MS

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 Manor Of Tupelo's NPI number?

The NPI number for Magnolia Manor Of Tupelo is 1558545210. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Magnolia Manor Of Tupelo located?

Magnolia Manor Of Tupelo is located at 1514 County Road 41, Tupelo, MS 38801. The listed phone number is (662) 842-6776.

What is Magnolia Manor Of Tupelo's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Manor Of Tupelo was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.