SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
NPI 1871108274
Nurse Practitioner in Ormond Beach, FL

Q: What is Southern Magnolia Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 11, 2020CLIA 10D2233423 · Waiver

533 N NOVA RD STE 209, ORMOND BEACH, FL 32174(407) 590-0377 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Magnolia Health And Wellness Llc NPPES

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

SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC (NPI 1871108274) is a healthcare organization registered as a nurse practitioner in Ormond Beach, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Hope A King, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1871108274

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC

Location Address533 N NOVA RD STE 209Ormond Beach, FL 32174-4422

Mailing Address490 N Yonge StOrmond Beach, FL 32174-5252 · (407) 590-0377

Phone(407) 590-0377

Organization SubpartNo

Authorized OfficialHope A KingOwner/aprn · (407) 590-0377

Enumeration DateSeptember 11, 2020

NPPES CertifiedSeptember 11, 2020

✔ NPI 1871108274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

533 N NOVA RD STE 209, Ormond Beach, FL 32174

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2233423

Southern Magnolia Health And Wellness, LLC · Ormond Beach, FL

Active · expires Aug 22, 2027

CLIA Number10D2233423

Laboratory TypePractitioner Other

Certificate Effective DateAugust 23, 2025

Certificate Expiration DateAugust 22, 2027

Laboratory DirectorHope A. King

Laboratory Phone(386) 260-2653

Laboratory LocationSouthern Magnolia Health And Wellness, LLC533 N Nova Rd Ste 116, Ormond Beach, FL 32174

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Southern Magnolia Health And Wellness LLC's NPI number?

The NPI number for Southern Magnolia Health And Wellness LLC is 1871108274. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Southern Magnolia Health And Wellness LLC located?

Southern Magnolia Health And Wellness LLC is located at 533 N Nova Rd Ste 209, Ormond Beach, FL 32174. The listed phone number is (407) 590-0377.

What is Southern Magnolia Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Southern Magnolia Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233423) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Magnolia Health And Wellness LLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.