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MAGNOLIA INTERNAL MEDICINE ASSOCIATES PA
NPI 1972582385
Internal Medicine in Tyler, TX

Active since January 13, 2006CLIA 45D1036119 · Waiver
3309 UNIVERSITY BLVD, TYLER, TX 75701(903) 565-0303(903) 565-5446 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Magnolia Internal Medicine Associates Pa NPPES

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

MAGNOLIA INTERNAL MEDICINE ASSOCIATES PA (NPI 1972582385) is a healthcare organization registered as an internal medicine in Tyler, Texas and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Denise Ione Sherman, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1972582385
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAGNOLIA INTERNAL MEDICINE ASSOCIATES PA
Location Address3309 UNIVERSITY BLVDTyler, TX 75701
Mailing Address3309 University BlvdTyler, TX 75701 · (903) 565-0303 · Fax (903) 565-5446
Phone(903) 565-0303
Fax(903) 565-5446
Organization SubpartNo
Authorized OfficialDenise Ione ShermanClinic Director · (903) 565-0303
Enumeration DateJanuary 13, 2006
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1972582385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3309 UNIVERSITY BLVD, Tyler, TX 75701
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Other Identifiers 1

Other0057LZBcbs

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

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 45D1036119

Magnolia Internal Medicine Assoc, Inc · Tyler, TX
Active · expires Jan 20, 2027
CLIA Number45D1036119
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorDenise I. Sherman
Laboratory Phone(903) 565-0303
Laboratory LocationMagnolia Internal Medicine Assoc, Inc3309 University Blvd, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
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.

RUSSELL TODD TOPHAM MD
Internal Medicine
3309 UNIVERSITY BLVD
TYLER, TX 75701
Smith County (903) 565-0303
DENISE IONE SHERMAN MD
Internal Medicine
3309 UNIVERSITY BLVD
TYLER, TX 75701
Smith County (903) 565-0303

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 Internal Medicine Associates PA's NPI number?

The NPI number for Magnolia Internal Medicine Associates PA is 1972582385. It was assigned to this organization in the NPPES registry on January 13, 2006.

Where is Magnolia Internal Medicine Associates PA located?

Magnolia Internal Medicine Associates PA is located at 3309 University Blvd, Tyler, TX 75701. The listed phone number is (903) 565-0303.

What is Magnolia Internal Medicine Associates PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Magnolia Internal Medicine Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1036119) is associated with this NPI, valid through January 20, 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 Magnolia Internal Medicine Associates PA was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.