Magnolia Medical Internal Medicine Inc
NPI 1073471561 · Internal Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Medical Internal Medicine Inc is a Internal Medicine Physician organization in Shreveport, LA (NPI 1073471561).
Provider details
- NPI number
- 1073471561
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cody Tingle, Owner, Physician(318) 208-1804
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
Under 1 yr in 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
- 2026-01-13
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is Magnolia Medical Internal Medicine Inc's NPI number?
- Magnolia Medical Internal Medicine Inc's National Provider Identifier (NPI) is 1073471561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Medical Internal Medicine Inc?
- Magnolia Medical Internal Medicine Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Medical Internal Medicine Inc located?
- Magnolia Medical Internal Medicine Inc's practice location on file with NPPES is 7591 Fern Ave Ste 1401, Shreveport, LA 71105-5747.
- What is Magnolia Medical Internal Medicine Inc's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Medical Internal Medicine Inc is (318) 208-1804.
- Does Magnolia Medical Internal Medicine Inc accept Medicare?
- Magnolia Medical Internal Medicine Inc 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 Medical Internal Medicine Inc?
- The authorized official listed on Magnolia Medical Internal Medicine Inc's NPPES record is Cody Tingle, Owner, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Medical Internal Medicine Inc's NPI active?
- Yes — Magnolia Medical Internal Medicine Inc's NPI (1073471561) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.