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MAGNOLIA DERMATOLOGY, PLLC
NPI 1841645470
Dermatology in Clinton, MS

Active since May 02, 2016CLIA Certified · 3 labs
815 HIGHWAY 80 E, CLINTON, MS 39056(601) 910-3004 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Dermatology, Pllc NPPES

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

MAGNOLIA DERMATOLOGY, PLLC (NPI 1841645470) is a healthcare organization registered as a dermatology in Clinton, Mississippi and active in the NPI registry since May 2016. The organization holds 3 active CLIA laboratory certificates and lists Christin Collier Hurt, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1841645470
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMAGNOLIA DERMATOLOGY, PLLC
Location Address815 HIGHWAY 80 EClinton, MS 39056-5252
Mailing Address815 Highway 80 EClinton, MS 39056-5252 · (601) 910-3004
Phone(601) 910-3004
Organization SubpartNo
Authorized OfficialChristin Collier HurtMedical Doctor · (601) 910-3004
Enumeration DateMay 2, 2016
✔ NPI 1841645470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 21939
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
815 HIGHWAY 80 E, Clinton, MS 39056
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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

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 25D2258032

Magnolia Dermatology PLLC · Jackson, MS
Active · expires Apr 13, 2028
CLIA Number25D2258032
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorDr. Patrick Boler
Laboratory Phone(601) 910-3004
Laboratory LocationMagnolia Dermatology PLLC1659 Lelia Dr, Jackson, MS 39216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2329089

Magnolia Dermatology, PLLC · Columbus, MS
Active · expires Aug 20, 2027
CLIA Number25D2329089
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorAnna E. Woodson
Laboratory Phone(601) 910-3004
Laboratory LocationMagnolia Dermatology, PLLC428 Hospital Drive, Columbus, MS 39705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2270913

Magnolia Dermatology PLLC · Starkville, MS
Active · expires Oct 23, 2026
CLIA Number25D2270913
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorDr. Christin Hurt
Laboratory Phone(601) 910-3004
Laboratory LocationMagnolia Dermatology PLLC106 Strange Rd, Starkville, MS 39759
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2116983

Magnolia Dermatology, PLLC · Clinton, MS
Expired · Aug 4, 2026
CLIA Number25D2116983
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorChristin C. Hurt
Laboratory Phone(601) 910-3004
Laboratory LocationMagnolia Dermatology, PLLC815 Highway 80 E, Clinton, MS 39056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

ELISE C BUCKLEY PA-C
Physician Assistant (Medical)
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 910-3004
OPTICAL 2000
Optometrist
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 924-4444
PATRICK LYNN BOLER M.D.
Dermatology
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 910-3004
DR. ASHTON DAVIS MD
Dermatology
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 910-3004
WALTER PANG O.D.
Optometrist
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 924-4444
CALIN MULLINS FNP-C
Nurse Practitioner (Family)
815 HIGHWAY 80 E
CLINTON, MS 39056
Hinds County (601) 910-3004

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 Dermatology, PLLC's NPI number?

The NPI number for Magnolia Dermatology, PLLC is 1841645470. It was assigned to this organization in the NPPES registry on May 2, 2016.

Where is Magnolia Dermatology, PLLC located?

Magnolia Dermatology, PLLC is located at 815 Highway 80 E, Clinton, MS 39056. The listed phone number is (601) 910-3004.

What is Magnolia Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Magnolia Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Magnolia Dermatology, PLLC was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.