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MAG MEDICAL & MEDISPA, LLC
NPI 1780449389
Nurse Practitioner - Family in Ripley, MS

Active since February 14, 2024CLIA 25D2300636 · Waiver
307 UNION ST, RIPLEY, MS 38663(662) 587-3405(662) 507-2930 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mag Medical & Medispa, Llc NPPES

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

MAG MEDICAL & MEDISPA, LLC (NPI 1780449389) is a healthcare organization registered as a family in Ripley, Mississippi and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Lauren Kirkman, Owner, Fnp, as its authorized official.

NPPES Registry Identity

NPI1780449389
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAG MEDICAL & MEDISPA, LLC
Location Address307 UNION STRipley, MS 38663-1718
Mailing Address307 Union StRipley, MS 38663-1718 · (662) 502-2903 · Fax (662) 507-2930
Phone(662) 587-3405
Fax(662) 507-2930
Organization SubpartNo
Authorized OfficialLauren KirkmanOwner, Fnp · (662) 502-2903
Enumeration DateFebruary 14, 2024
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1780449389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
307 UNION ST, Ripley, MS 38663
Open in Google Maps ↗

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

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 25D2300636

Mag Medical & Medispa · Ripley, MS
Active · expires Mar 12, 2028
CLIA Number25D2300636
Laboratory TypePractitioner Other
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorLaura Kirkman
Laboratory Phone(662) 507-2903
Laboratory LocationMag Medical & Medispa307 North Union Street, Ripley, MS 38663
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DONALD P. ROTEN, DDS, P.A.
Clinic/Center (Dental)
307 UNION ST
RIPLEY, MS 38663
Tippah County (662) 837-4664
DR. DONALD PERRIN ROTEN SR. D.D.S.
Dentist (General Practice)
307 UNION ST
RIPLEY, MS 38663
Tippah County (662) 837-4664

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 Mag Medical & Medispa, LLC's NPI number?

The NPI number for Mag Medical & Medispa, LLC is 1780449389. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Mag Medical & Medispa, LLC located?

Mag Medical & Medispa, LLC is located at 307 Union St, Ripley, MS 38663. The listed phone number is (662) 587-3405.

What is Mag Medical & Medispa, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mag Medical & Medispa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2300636) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mag Medical & Medispa, 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 1 other insurer list Mag Medical & Medispa, 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 Mag Medical & Medispa, LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.