Magnolia Premier Medical Group PLLC
NPI 1164293387ActiveOrganization· Family Medicine· Ridgeland, MS
Family Medicine in Ridgeland, Mississippi, registered in NPPES in January 2024. The authorized official on file is Craig Damon Henry, APRN, FNP-C, Family Medicine Provider.
Overview
| NPI | 1164293387 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2024 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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