MAGNOLIA FAMILY MEDICAL PRACTICE
NPI 1669991337
Family Medicine in Corinth, MS

Active since September 14, 2017CLIA 25D0918465 · Certificate of Compliance
121 PRATT DR STE 1A, CORINTH, MS 38834(662) 286-0088(662) 286-0067 Get Directions Write a Review

NPPES record last updated: September 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Magnolia Family Medical Practice NPPES

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

MAGNOLIA FAMILY MEDICAL PRACTICE (NPI 1669991337) is a healthcare organization registered as a family medicine in Corinth, Mississippi and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2028 and lists Ronny Humes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669991337
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA FAMILY MEDICAL PRACTICE
Location Address121 PRATT DR STE 1ACorinth, MS 38834-6026
Mailing Address401 Alcorn Dr Ste 2cCorinth, MS 38834-9073 · (662) 293-7266 · Fax (662) 293-6255
Fax(662) 286-0067
Organization SubpartYesParent: Magnolia Regional Health Center
Authorized OfficialRonny HumesCeo · (662) 293-7664
Enumeration DateSeptember 14, 2017
✔ NPI 1669991337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
121 PRATT DR STE 1A, Corinth, MS 38834

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Family Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Magnolia Family Medical Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice5
Nurse Practitioner5

Clinicians, nearest first (10)

Family Practice
NPI 1730703158
121 PRATT DR
Corinth, MS 38834
(662) 286-0088
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437238938
100 NORMAN RD
Corinth, MS 38834
(662) 287-6999
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1629186382
207 ALCORN DR
Corinth, MS 38834
(662) 287-3100
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1356853345
611 ALCORN DR
Corinth, MS 38834
(662) 293-1000
✔ PECOS✔ Accepts Medicare4.5 mi
Family Practice
NPI 1417953233
121 PRATT DR SUITE 1A
Corinth, MS 38834
(662) 286-0088
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1689791733
121 PRATT DRIVE SUITE 1 A
Corinth, MS 38834
(662) 286-0088
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1306869375
2000 SHILOH ROAD
Corinth, MS 38834
(662) 287-6999
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1912418781
302 KAKI ST
Iuka, MS 38852
(662) 423-3662
✔ PECOS22 mi
Family Practice
NPI 1407237365
1665 S GREEN ST
Tupelo, MS 38804
(662) 377-2189
✔ PECOS✔ Accepts Medicare41 mi
Family Practice
NPI 1306296496
1010 N KANSAS ST
Wichita, KS 67214
(316) 293-2665
✔ PECOS✔ Accepts Medicare524 mi

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 Compliance 25D0918465

Magnolia Family Medical Practice · Corinth, MS
Active · expires May 21, 2028
CLIA Number25D0918465
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Joseph L. Pratt
Laboratory Phone(662) 286-0088
Laboratory LocationMagnolia Family Medical Practice121 Pratt Dr Ste 1A, Corinth, MS 38834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Family Medical Practice's NPI number?

The NPI number for Magnolia Family Medical Practice is 1669991337. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Magnolia Family Medical Practice located?

Magnolia Family Medical Practice is located at 121 Pratt Dr Ste 1A, Corinth, MS 38834. The listed phone number is (662) 286-0088.

What is Magnolia Family Medical Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Magnolia Family Medical Practice enrolled in Medicare?

Yes. Magnolia Family Medical Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Family Medical Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Magnolia Family Medical Practice. 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. The largest specialties are Family Practice (5) and Nurse Practitioner (5). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Magnolia Family Medical Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0918465) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Family Medical Practice accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Magnolia Family Medical Practice 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 Family Medical Practice was last updated on September 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.