Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Premier Medical Group PLLC

Organization Family Medicine Physician · NPI 1164293387

Magnolia Premier Medical Group PLLC is a Family Medicine Physician in Ridgeland, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Highland Colony Pkwy Ste 35203
Ridgeland, MS 39157-2073
Phone: (601) 613-5682
Fax: (601) 372-3059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164293387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Henry — Family Medicine Provider · (601) 613-5681
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address4366 S Siwell Rd, Byram, MS 39212-6213

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