Magnolia Manor of Tupelo
NPI 1558545210ActiveOrganization· Preferred Provider Organization· Tupelo, MS
Preferred Provider Organization in Tupelo, Mississippi, registered in NPPES in December 2007. The authorized official on file is Donna Pharr, Executive Director.
Overview
| NPI | 1558545210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2007 |
| Last updated in NPPES | Dec 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1000 | MS |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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