Magnolia Orthopaedics & Sports Medicine, P.A.
NPI 1063433233 · Sports Medicine (Orthopaedic Surgery) Physician · Corinth, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Orthopaedics & Sports Medicine, P.A. is a Sports Medicine (Orthopaedic Surgery) Physician organization in Corinth, MS (NPI 1063433233).
Provider details
- NPI number
- 1063433233
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlie Gooch, Office Manager(662) 286-6369
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
20 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
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2013-08-15
Frequently asked questions
- What is Magnolia Orthopaedics & Sports Medicine, P.A.'s NPI number?
- Magnolia Orthopaedics & Sports Medicine, P.A.'s National Provider Identifier (NPI) is 1063433233, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Orthopaedics & Sports Medicine, P.A.?
- Magnolia Orthopaedics & Sports Medicine, P.A. is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Orthopaedics & Sports Medicine, P.A. located?
- Magnolia Orthopaedics & Sports Medicine, P.A.'s practice location on file with NPPES is 611 Alcorn Dr, Corinth, MS 38834-9321.
- What is Magnolia Orthopaedics & Sports Medicine, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Magnolia Orthopaedics & Sports Medicine, P.A. is (662) 286-6369.
- Does Magnolia Orthopaedics & Sports Medicine, P.A. accept Medicare?
- Magnolia Orthopaedics & Sports Medicine, P.A. 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 Orthopaedics & Sports Medicine, P.A.?
- The authorized official listed on Magnolia Orthopaedics & Sports Medicine, P.A.'s NPPES record is Charlie Gooch, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Orthopaedics & Sports Medicine, P.A.'s NPI active?
- Yes — Magnolia Orthopaedics & Sports Medicine, P.A.'s NPI (1063433233) is active in the NPPES registry as of the last update on 2013-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.