OrganizationActive
Magnolia Surgery Center, LLC
NPI 1700685021 · Ambulatory Surgical Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1700685021
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jay Mcdonald, Partner(901) 497-9888
Specialties & taxonomies
Ambulatory Health Care Facilities
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone: (662) 404-8630
Street-level locationGet directions
Mailing address
120 Stone Creek Blvd Ste 200
Flowood, MS 39232-8210
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.