Skip to content

Magnolia Endoscopy Center, LLC

NPI 1740264274ActiveOrganization· Clinic/Center, Endoscopy· Corinth, MS

Clinic/Center, Endoscopy in Corinth, Mississippi, registered in NPPES in November 2005. The authorized official on file is Fredrick Alvin Corder, M.D., Owner/Physician/Medical Director. Medicare paid $473,986 for services to 779 patients in 2024.

Overview

NPI1740264274
StatusActive
Entity typeOrganization
NPI issuedNov 29, 2005
Last updated in NPPESSep 8, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Endoscopy Primary261QE0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulatory Surgical Center (MS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients779
Services billed1,503 across 22 procedure codes
Paid by Medicare$473,986

Medicare sources and data years