1. Home
  2. Directory
  3. Mississippi
  4. Mccomb
  5. Family Medicine
  6. NPI Profile

MAGNOLIA FAMILY MEDICINE, PLLC
NPI 1699787515
Family Medicine in Mccomb, MS

Active since August 12, 2006
415 MARION AVE, SUITE 399, MCCOMB, MS 39648(601) 684-8800(601) 914-2937 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Family Medicine, Pllc NPPES

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

MAGNOLIA FAMILY MEDICINE, PLLC (NPI 1699787515) is a healthcare organization registered as a family medicine in Mccomb, Mississippi and active in the NPI registry since August 2006. The organization lists Larry Lee Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1699787515
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA FAMILY MEDICINE, PLLC
Location Address415 MARION AVE, SUITE 399Mccomb, MS 39648-2709
Mailing Address1074 Brandon DrMccomb, MS 39648-6130 · (601) 684-1633 · Fax (601) 914-2937
Phone(601) 684-8800
Fax(601) 914-2937
Organization SubpartNo
Authorized OfficialLarry Lee MontgomeryOwner · (601) 684-8800
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1699787515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 16277
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.
415 MARION AVE, Mccomb, MS 39648
Open in Google Maps ↗

Other Identifiers 2

Medicaid00120513MS
Other16277MS · State Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN BROWN MS CCC-SLP
Speech-Language Pathologist
415 MARION AVE
MCCOMB, MS 39648
Pike County (601) 684-8700
MISSISSIPPI COMMCARE CORPORATION A NON PROFIT CORPORATION
Skilled Nursing Facility
415 MARION AVE
MCCOMB, MS 39648
Pike County (601) 684-8700
ROBIN BONDS DPT
Physical Therapist
415 MARION AVE
MCCOMB, MS 39648
Pike County (601) 684-8700

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 Medicine, PLLC's NPI number?

The NPI number for Magnolia Family Medicine, PLLC is 1699787515. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Magnolia Family Medicine, PLLC located?

Magnolia Family Medicine, PLLC is located at 415 Marion Ave Suite 399, Mccomb, MS 39648. The listed phone number is (601) 684-8800.

What is Magnolia Family Medicine, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Magnolia Family Medicine, PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.