Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1699787515

Magnolia Family Medicine, PLLC provides Family Medicine Physician services in McComb, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

415 Marion Ave Ste 399
McComb, MS 39648-2709
Phone: (601) 684-8800
Fax: (601) 914-2937
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16277 (MS)

Record details

NPI number1699787515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Montgomery — Owner · (601) 684-8800
NPI enumeratedAugust 12, 2006
Last updated in NPPESMarch 7, 2023
Mailing address1074 Brandon Dr, McComb, MS 39648-6130

Other providers in McComb