Magnolia Gynecology, LLC
NPI 1063024149 · Obstetrics & Gynecology Physician · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Gynecology, LLC is a Obstetrics & Gynecology Physician organization in Tampa, FL (NPI 1063024149).
Provider details
- NPI number
- 1063024149
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexandria Reyes, Physician Owner(813) 773-6627
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Magnolia Gynecology
Registry dates
- Enumerated
- 2020-08-19
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Magnolia Gynecology, LLC's NPI number?
- Magnolia Gynecology, LLC's National Provider Identifier (NPI) is 1063024149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Gynecology, LLC?
- Magnolia Gynecology, LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Gynecology, LLC located?
- Magnolia Gynecology, LLC's practice location on file with NPPES is 3216 W Azeele St Ste 2, Tampa, FL 33609-3018.
- What is Magnolia Gynecology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Gynecology, LLC is (813) 773-6627.
- Does Magnolia Gynecology, LLC accept Medicare?
- Magnolia Gynecology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Magnolia Gynecology, LLC?
- The authorized official listed on Magnolia Gynecology, LLC's NPPES record is Alexandria Reyes, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Gynecology, LLC's NPI active?
- Yes — Magnolia Gynecology, LLC's NPI (1063024149) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.