OrganizationActive
Magnolia Clinic
NPI 1093038234 · Clinic/Center · Meridian, MS
Magnolia Clinic is a Clinic/Center organization in Meridian, MS (NPI 1093038234).
Provider details
- NPI number
- 1093038234
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Carlisle, Director(601) 581-7836
- License
- 31 136 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
4555 Highland Park Dr
Meridian, MS 39307-5429
Phone: (601) 481-1135
Fax: (601) 581-7676
Street-level locationGet directions
Mailing address
P O Box 4128, West Station
Meridian,, MS 39304-4128
Other names (DBA / former)
- Doing business as
- East Ms State Hospital
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Frequently asked questions
- What is Magnolia Clinic's NPI number?
- Magnolia Clinic's National Provider Identifier (NPI) is 1093038234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Clinic?
- Magnolia Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Magnolia Clinic located?
- Magnolia Clinic's practice location on file with NPPES is 4555 Highland Park Dr, Meridian, MS 39307-5429.
- What is Magnolia Clinic's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Clinic is (601) 481-1135.
- Who is the authorized official for Magnolia Clinic?
- The authorized official listed on Magnolia Clinic's NPPES record is Charles Carlisle, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Clinic's NPI active?
- Yes — Magnolia Clinic's NPI (1093038234) is active in the NPPES registry as of the last update on 2010-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.