Magnolia Medical Clinic, P.C.
NPI 1184711517 · Internal Medicine Physician · Norcross, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Medical Clinic, P.C. is a Internal Medicine Physician organization in Norcross, GA (NPI 1184711517).
Provider details
- NPI number
- 1184711517
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suresh Shah, Owner/Physician(770) 931-1333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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)
- Other name
- Norcross Medical Clinic, Magnolia Medical Clinic
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2015-05-28
Frequently asked questions
- What is Magnolia Medical Clinic, P.C.'s NPI number?
- Magnolia Medical Clinic, P.C.'s National Provider Identifier (NPI) is 1184711517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Medical Clinic, P.C.?
- Magnolia Medical Clinic, P.C. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Medical Clinic, P.C. located?
- Magnolia Medical Clinic, P.C.'s practice location on file with NPPES is 1235 Indian Trail Road, Norcross, GA 30093.
- What is Magnolia Medical Clinic, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Magnolia Medical Clinic, P.C. is (770) 931-1333.
- Does Magnolia Medical Clinic, P.C. accept Medicare?
- Magnolia Medical Clinic, P.C. 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 Clinic, P.C.?
- The authorized official listed on Magnolia Medical Clinic, P.C.'s NPPES record is Suresh Shah, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Medical Clinic, P.C.'s NPI active?
- Yes — Magnolia Medical Clinic, P.C.'s NPI (1184711517) is active in the NPPES registry as of the last update on 2015-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.