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

Magnolia Premier Medical Group PLLC

Organization Family Medicine Physician · NPI 1164293387

Magnolia Premier Medical Group PLLC provides Family Medicine Physician services 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.

See every abbreviation used in this directory →

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

Other providers in Ridgeland