Magnolia Professional Associates
Magnolia Professional Associates is a healthcare organization registered as Surgery Physician in Corinth, MS, holding Type 2 (organization) NPI 1366463549 since 2006. The authorized official on file is Jason Coley, Executive Director Physician Servic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366463549 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Magnolia Professional Associates |
| Practice address | 703 ALCORN DRIVE, 109, Corinth, MS, 38834 |
| Phone | 6622862522 |
| Fax | 6622934288 |
| Enumeration date | 2006-07-22 |
| Last updated in NPPES | 2021-05-14 |
Authorized official
| Name | Jason Coley |
|---|---|
| Title | Executive Director Physician Servic |
| Phone | 6622937678 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05323894 | Medicaid | MS | — |
Copy-ready billing details
Provider: Magnolia Professional Associates NPI: 1366463549 Taxonomy: 208600000X (Surgery Physician) Address: 703 ALCORN DRIVE, 109, Corinth, MS, 38834
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134142284 | Magnolia Surgical Group | Organization | Surgery Physician | Corinth, MS |
| 1174177612 | Hannah Christian | Individual | Adult Health Nurse Practitioner | Corinth, MS |
Verify this record
Cross-check NPI 1366463549 against the authoritative CMS record: view Magnolia Professional Associates on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Magnolia Professional Associates?
What is the NPI number for Magnolia Professional Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-14.