OrganizationActive
Magnolia Family Clinic
NPI 1508303348 · Family Medicine Physician · Rienzi, MS
Provider details
- NPI number
- 1508303348
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Magnolia Regional Health Center
- Organization subpart
- Yes
- Authorized official
- Deonne Henry, Executive Director(662) 293-1076
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
82 Main St
Rienzi, MS 38865-9144
Phone: (662) 293-6699
Fax: (662) 293-6698
Street-level locationGet directions
Mailing address
401 Alcorn Dr Ste 2c
Corinth, MS 38834-9073
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.