MAGNOLIA MEDICAL GROUP, LLC
NPI 1801340856
General Practice in Eatonton, GA
About Magnolia Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA MEDICAL GROUP, LLC (NPI 1801340856) is a healthcare organization registered as a general practice in Eatonton, Georgia and active in the NPI registry since August 2016. The organization lists Justin Lance, Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Magnolia Medical Group, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medical Group, LLC's NPI number?
The NPI number for Magnolia Medical Group, LLC is 1801340856. It was assigned to this organization in the NPPES registry on August 8, 2016.
Where is Magnolia Medical Group, LLC located?
Magnolia Medical Group, LLC is located at 946 Harmony Rd, Eatonton, GA 31024. The listed phone number is (706) 991-5320.
What is Magnolia Medical Group, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Magnolia Medical Group, LLC enrolled in Medicare?
Yes. Magnolia Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Magnolia Medical Group, LLC, in Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Magnolia Medical Group, LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Medical Group, Llc · NPI 1801340856
General Practice organization in Eatonton, Georgia. Organization record, active in the CMS NPPES registry since August 8, 2016.
## Identity
- **NPI:** 1801340856 (Entity type: Organization)
- **Enumerated:** August 8, 2016
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Justin Lance, DOCTOR/OWNER
## Practice location
- **Address:** 946 HARMONY RD, Eatonton, GA 31024-5877
- **Phone:** (706) 991-5320 · **Fax:** (866) 720-5313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801340856) · Data from the CMS NPPES public registry.