Magnolia Health and Wellness LLC
NPI 1124906722ActiveOrganization· Family Medicine· Carthage, TN
Family Medicine in Carthage, Tennessee, registered in NPPES in August 2025. The authorized official on file is Stephanie Ruckman, DNP,FNP-BC, Owner/Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124906722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2025 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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