MAGNOLIA FAMILY MEDICINE PC – NPI #1639319213
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MAGNOLIA FAMILY MEDICINE PC is a provider located in WILMINGTON, NC. NPPES has assigned the NPI number 1639319213 to MAGNOLIA FAMILY MEDICINE PC on February 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 29, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAGNOLIA FAMILY MEDICINE PC below.

NPI Profile for
MAGNOLIA FAMILY MEDICINE PC

NPI Number
1639319213
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGNOLIA FAMILY MEDICINE PC
Primary location
3720 SHIPYARD BLVD
WILMINGTON, NC 28403-6147
Phone: (910) 796-3212 Fax: (910) 796-3216
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD GUTSIN
OWNER
Phone: (910) 796-3212
Updated
Certification Date
Apr 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAGNOLIA FAMILY MEDICINE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC7937920
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 NC 9500364

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ECW EMAIL
Content Type
Affiliation
N
Endpoint Location
3720 SHIPYARD BLVD,
WILMINGTON, NC 77025-1669