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Magnolia Orthopaedics & Sports Medicine, P.A.

Sports Medicine (Orthopaedic Surgery) Physician in Corinth, MS · enumerated 2006 · authorized official Charlie Gooch, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063433233

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Registry record

Entity type Organization (Type 2)
Legal business name Magnolia Orthopaedics & Sports Medicine, P.A.
Practice address 611 Alcorn Dr, Suite 100, Corinth, MS, 38834
Phone (662) 286-6369
Fax (662) 286-2768
Enumeration date Jul 22, 2006
Last updated in NPPES Aug 15, 2013

Taxonomy & classification

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charlie Gooch
Title Office Manager
Phone (662) 286-6369

Other identifiers

Identifier Type State Issuer
09013928 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-08-15. Verify at npiregistry.cms.hhs.gov.
Where is Magnolia Orthopaedics & Sports Medicine, P.A. located?
The practice location on file with NPPES is in Corinth, MS.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-15.