MAGNOLIA MEDICAL FOUNDATION (NPI# 1114421021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114421021 |
Entity Type | Organization |
Organization Name | MAGNOLIA MEDICAL FOUNDATION |
Practice Address |
1230 Raymond Rd Ste 600 Jackson MS 39204-4579 |
Practice Telephone | 6016133737 |
Mailing Telephone | 6016133737 |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |
Authorized Official Name | DR. ERICA THOMPSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6016133737 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174H00000X | Health Educator | Other Service Providers |
Street Address |
1230 RAYMOND RD STE 600 |
City | JACKSON |
State | MS |
Zip Code | 39204-4579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649774522 | Erica Thompson | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
Find all providers in zip 39204 |
Taxonomy Code | 174H00000X |
Grouping | Other Service Providers |
Classification | Health Educator |
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144843590 | Angela Deberry | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
1649774522 | Erica Thompson | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
1346637865 | Vitality Clinic | Health Educator | 111 N. Missouri Street, Jackson, MO 63755 | 2015-04-22 |
1356954440 | Nicholas Jackson | Health Educator | 2500 North State St., Preventive Medicine Department, Jackson, MS 39216 | 2020-08-28 |
1518580679 | Gwen Ragland | Health Educator | 460 N Parkway, Jackson, TN 38305-2818 | 2020-05-24 |
1720601164 | William R Lovelady | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
1194363820 | Candice Brea Cole | Health Educator | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-12 |
1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
1356906648 | Mireya Alexander | Health Educator | 1230 Raymond Rd, Jackson, MS 39204-4583 | 2019-05-02 |
1770087140 | Judy L Davis | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.