Magnolia Grove Healthcare
NPI 1710179395 · Primary Care Clinic/Center · Gulfport, MS
Magnolia Grove Healthcare is a Primary Care Clinic/Center organization in Gulfport, MS (NPI 1710179395).
Provider details
- NPI number
- 1710179395
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracey Decena, Office Manager(228) 863-4000
- License
- 12792 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-08-16
- Last updated
- 2007-08-16
Frequently asked questions
- What is Magnolia Grove Healthcare's NPI number?
- Magnolia Grove Healthcare's National Provider Identifier (NPI) is 1710179395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Grove Healthcare?
- Magnolia Grove Healthcare is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Magnolia Grove Healthcare located?
- Magnolia Grove Healthcare's practice location on file with NPPES is 4333 15th St Ste a, Gulfport, MS 39501-2525.
- What is Magnolia Grove Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Grove Healthcare is (228) 863-4000.
- Who is the authorized official for Magnolia Grove Healthcare?
- The authorized official listed on Magnolia Grove Healthcare's NPPES record is Tracey Decena, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Grove Healthcare's NPI active?
- Yes — Magnolia Grove Healthcare's NPI (1710179395) is active in the NPPES registry as of the last update on 2007-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.