MAGNOLIA URGENT CARE
NPI 1649450834
Emergency Medicine in Green Cove Springs, FL
About Magnolia Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA URGENT CARE (NPI 1649450834) is a healthcare organization registered as an emergency medicine in Green Cove Springs, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists William A Jacobs, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Magnolia Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Magnolia Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 10D0912633
Magnolia Urgent Care Center · Green Cove Springs, FLFrequently 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 Urgent Care, PA's NPI number?
The NPI number for Magnolia Urgent Care, PA is 1649450834. It was assigned to this organization in the NPPES registry on November 6, 2007. The provider is also known as Magnolia Urgent Care.
Where is Magnolia Urgent Care, PA located?
Magnolia Urgent Care, PA is located at 3185 Highway 17, Green Cove Springs, FL 32043. The listed phone number is (904) 284-4222.
What is Magnolia Urgent Care, PA's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Magnolia Urgent Care, PA enrolled in Medicare?
Yes. Magnolia Urgent Care, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Urgent Care, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Magnolia Urgent Care, PA. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Magnolia Urgent Care, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0912633) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Magnolia Urgent Care, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) list Magnolia Urgent Care, PA 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 Urgent Care, PA was last updated on November 6, 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.
# Magnolia Urgent Care · NPI 1649450834
Emergency Medicine organization in Green Cove Springs, Florida. Organization record, active in the CMS NPPES registry since November 6, 2007.
## Identity
- **NPI:** 1649450834 (Entity type: Organization)
- **Enumerated:** November 6, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** Magnolia Urgent Care, Pa
- **Organization subpart:** No
- **Authorized official:** William Jacobs, PRESIDENT
## Practice location
- **Address:** 3185 HIGHWAY 17, Green Cove Springs, FL 32043-9371
- **Phone:** (904) 284-4222 · **Fax:** (904) 284-2025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2007
- **Other identifiers:** Other 38927 (FL); Medicare PIN K0872 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649450834) · Data from the CMS NPPES public registry.