Magnolia Professional Associates
NPI 1366463549ActiveOrganization· Surgery· Corinth, MS
Surgery in Corinth, Mississippi, registered in NPPES in July 2006. The authorized official on file is Jason Coley, Executive Director Physician Servic. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366463549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2006 |
| Last updated in NPPES | May 14, 2021 |
| Certified by provider | Apr 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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