MAGNOLIA FAMILY MEDICINE AND WELLNESS
NPI 1689323776
Clinic/Center - Primary Care in Manchester, TN
About Magnolia Family Medicine And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA FAMILY MEDICINE AND WELLNESS (NPI 1689323776) is a healthcare organization registered as a primary care in Manchester, Tennessee and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Vanessa Streicher Green, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Medicine And Wellness 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 Family Medicine And Wellness, 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 44D2258789
Magnolia Family Medicine And Wellness · Manchester, TNFrequently 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 Medicine And Wellness's NPI number?
The NPI number for Magnolia Family Medicine And Wellness is 1689323776. It was assigned to this organization in the NPPES registry on March 23, 2022.
Where is Magnolia Family Medicine And Wellness located?
Magnolia Family Medicine And Wellness is located at 1402 Willow Dr, Manchester, TN 37355. The listed phone number is (931) 450-1000.
What is Magnolia Family Medicine And Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Magnolia Family Medicine And Wellness enrolled in Medicare?
Yes. Magnolia Family Medicine And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Family Medicine And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Magnolia Family Medicine And Wellness, in Family Practice and Nurse Practitioner. 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 Family Medicine And Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2258789) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Magnolia Family Medicine And Wellness accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Magnolia Family Medicine And Wellness 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 Medicine And Wellness was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Family Medicine And Wellness · NPI 1689323776
Primary Care organization in Manchester, Tennessee. Organization record, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1689323776 (Entity type: Organization)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vanessa Green, OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 1402 WILLOW DR, Manchester, TN 37355-2438
- **Phone:** (931) 450-1000 · **Fax:** (931) 450-1004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689323776) · Data from the CMS NPPES public registry.