Magnolia Medical Foundation
NPI 1114421021ActiveOrganization· Health Educator· Jackson, MS
Health Educator in Jackson, Mississippi, registered in NPPES in March 2018. The authorized official on file is Erica Thompson, Executive Director. Enrolled in Medicare as mdpp supplier - in-person mdpp supplier and part b supplier - clinic/group practice.
Overview
| NPI | 1114421021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2018 |
| Last updated in NPPES | Mar 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Health Educator Primary | 174H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Mdpp Supplier - In-Person Mdpp Supplier (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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