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MAGNOLIA ENDOSCOPY CENTER, LLC
NPI 1740264274
Clinic/Center - Endoscopy in Corinth, MS

Active since November 29, 2005CLIA 25D1005167 · Waiver
3050 CORDER DR, CORINTH, MS 38834(662) 284-9902(662) 284-9904 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Endoscopy Center, Llc NPPES

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

MAGNOLIA ENDOSCOPY CENTER, LLC (NPI 1740264274) is a healthcare organization registered as an endoscopy in Corinth, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Fredrick Alvin Corder, Owner/physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1740264274
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameMAGNOLIA ENDOSCOPY CENTER, LLC
Location Address3050 CORDER DRCorinth, MS 38834-6210
Mailing AddressPo Box 600Corinth, MS 38835-0600 · (662) 284-9902 · Fax (662) 284-9904
Phone(662) 284-9902
Fax(662) 284-9904
Organization SubpartNo
Authorized OfficialFredrick Alvin CorderOwner/physician/medical Director · (662) 284-9902
Enumeration DateNovember 29, 2005
Last NPPES UpdateSeptember 8, 2016
✔ NPI 1740264274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
3050 CORDER DR, Corinth, MS 38834
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Other Identifiers 2

Medicaid00770615MS
Medicare ID-Type Unspecified490000039MS · Facility Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D1005167

Magnolia Endoscopy Center LLC · Corinth, MS
Active · expires Oct 15, 2026
CLIA Number25D1005167
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorFred A. Corder
Laboratory Phone(662) 284-9902
Laboratory LocationMagnolia Endoscopy Center LLC3050 Corder Drive, Corinth, MS 38834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
478 services437 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
284 services265 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
228 services227 patients
Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43252
This procedure involves using a thin, flexible instrument called an endoscope to examine the esophagus, stomach, and upper small bowel. The endoscope has a light and camera, allowing a detailed view of these areas to help diagnose various conditions.
138 services136 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
105 services105 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
83 services83 patients

Other Providers at the Same Location NPPES 4

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

JESSICA HARKEY FNPC
Nurse Practitioner (Family)
3050 CORDER DR
CORINTH, MS 38834
Alcorn County (662) 284-9902
CARRIE MICHELLE PORTERFIELD FNPC
Nurse Practitioner (Family)
3050 CORDER DR
CORINTH, MS 38834
Alcorn County (662) 284-9902
DR. CATHERINE VADIME NETCHVOLODOFF MD
Internal Medicine (Gastroenterology)
3050 CORDER DR
CORINTH, MS 38834
Alcorn County (662) 284-9995
ALLENE CRAVEN JOLLY CRNA
Nurse Anesthetist, Certified Registered
3050 CORDER DR
CORINTH, MS 38834
Alcorn County (662) 284-9995

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 Endoscopy Center, LLC's NPI number?

The NPI number for Magnolia Endoscopy Center, LLC is 1740264274. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is Magnolia Endoscopy Center, LLC located?

Magnolia Endoscopy Center, LLC is located at 3050 Corder Dr, Corinth, MS 38834. The listed phone number is (662) 284-9902.

What is Magnolia Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Magnolia Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1005167) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Endoscopy Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Magnolia Endoscopy Center, LLC 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 Endoscopy Center, LLC was last updated on September 8, 2016. 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.