Purple Magnolia Healthcare LLC
NPI 1932965563 · Primary Care Nurse Practitioner · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Purple Magnolia Healthcare LLC is a Primary Care Nurse Practitioner organization in Gulfport, MS (NPI 1932965563).
Provider details
- NPI number
- 1932965563
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chancelyn Penn, Owner and Practitioner(601) 419-7665
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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)
- Former legal business name
- Purple Magnolia Healthcare LLP.
- Former legal business name
- Purple Magnolia Healthcare LLP.
Additional practice locations (1)
- 4835 Werner DrNew Orleans, LA 70126-4445Phone: (601) 419-7665
Registry dates
- Enumerated
- 2024-02-21
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Frequently asked questions
- What is Purple Magnolia Healthcare LLC's NPI number?
- Purple Magnolia Healthcare LLC's National Provider Identifier (NPI) is 1932965563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purple Magnolia Healthcare LLC?
- Purple Magnolia Healthcare LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Purple Magnolia Healthcare LLC located?
- Purple Magnolia Healthcare LLC's practice location on file with NPPES is 1520 29th Ave Ste 3, Gulfport, MS 39501-2843.
- What is Purple Magnolia Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Purple Magnolia Healthcare LLC is (601) 419-7665.
- Does Purple Magnolia Healthcare LLC accept Medicare?
- Purple Magnolia Healthcare LLC 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 Purple Magnolia Healthcare LLC?
- The authorized official listed on Purple Magnolia Healthcare LLC's NPPES record is Chancelyn Penn, Owner and Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purple Magnolia Healthcare LLC's NPI active?
- Yes — Purple Magnolia Healthcare LLC's NPI (1932965563) is active in the NPPES registry as of the last update on 2024-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.