Magnolia Specialty Clinic
NPI 1104464395 · Endocrinology, Diabetes & Metabolism Physician · Corinth, MS
Magnolia Specialty Clinic is a Endocrinology, Diabetes & Metabolism Physician organization in Corinth, MS (NPI 1104464395).
Provider details
- NPI number
- 1104464395
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Nakagawa, Cfo(662) 293-7660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-12-18
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Frequently asked questions
- What is Magnolia Specialty Clinic's NPI number?
- Magnolia Specialty Clinic's National Provider Identifier (NPI) is 1104464395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Specialty Clinic?
- Magnolia Specialty Clinic is classified in the NPPES registry as Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Specialty Clinic located?
- Magnolia Specialty Clinic's practice location on file with NPPES is 3704 Highway 72 W, Corinth, MS 38834-8556.
- What is Magnolia Specialty Clinic's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Specialty Clinic is (662) 665-8041.
- Who is the authorized official for Magnolia Specialty Clinic?
- The authorized official listed on Magnolia Specialty Clinic's NPPES record is Marc Nakagawa, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Specialty Clinic's NPI active?
- Yes — Magnolia Specialty Clinic's NPI (1104464395) is active in the NPPES registry as of the last update on 2021-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.