MAGNOLIA SPECIALTY CLINIC
NPI 1104464395
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corinth, MS
NPI Status: Active since December 18, 2019
Contact Information
3704 HIGHWAY 72 W
CORINTH, MS
ZIP 38834
Phone: (662) 665-8041
Fax: (662) 665-8049
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
About MAGNOLIA SPECIALTY CLINIC
This page provides the complete NPI Profile along with additional information for Magnolia Specialty Clinic, an internist established in Corinth, Mississippi operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1104464395 assigned on December 2019. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Magnolia Specialty Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Marc Nakagawa (Cfo)
- NPI
- 1104464395
- Provider Name
- MAGNOLIA SPECIALTY CLINIC
- Entity Type
- Organization
- Location Address
- 3704 HIGHWAY 72 W CORINTH, MS 38834
- Location Phone
- (662) 665-8041
- Location Fax
- (662) 665-8049
- Mailing Address
- 401 ALCORN DR STE 2C CORINTH, MS 38834
- Mailing Phone
- (662) 293-7618
- Mailing Fax
- (662) 665-8049
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2019
- Last Update Date
- 05-14-2021
- Code Navigator
An internist like Magnolia Specialty Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 6 | 4 | 3 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 6 | 8 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 6 + 8 + 3 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1104464395 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548706203 | MAGNOLIA NEPHROLOGY CLINIC Organization | Internal Medicine (Nephrology) | 3704 HIGHWAY 72 W CORINTH, MS 38834 (662) 665-8041 |
| 1639719032 | HOLLY PETTEY RN Individual | Registered Nurse | 3704 HIGHWAY 72 W CORINTH, MS 38834 (662) 665-8041 |
| 1861102196 | HOLLEY TRIMBLE Individual | Nurse Practitioner | 3704 HIGHWAY 72 W CORINTH, MS 38834 (662) 286-1499 |
| 1649721457 | MAGNOLIA REGIONAL HEALTH CENTER Organization | Internal Medicine | 3704 HIGHWAY 72 W CORINTH, MS 38834 (662) 286-1499 |
| 1154158947 | MAGNOLIA REGIONAL HEALTH CENTER Organization | Clinic/Center (Rural Health) | 3704 HIGHWAY 72 W CORINTH, MS 38834 (662) 286-1499 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104464395, enumerated in the NPI registry as an "organization" on December 18, 2019
The provider is located at 3704 Highway 72 W Corinth, Ms 38834 and the phone number is (662) 665-8041
This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism
This NPI record was last updated on December 18, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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