Magnolia Orthopaedics & Sports Medicine, P.A.
NPI 1063433233ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Corinth, MS
Orthopaedic Surgery, Sports Medicine in Corinth, Mississippi, registered in NPPES in July 2006. The authorized official on file is Charlie Gooch, Office Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1063433233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2006 |
| Last updated in NPPES | Aug 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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