MAGNOLIA SURGERY, PC – NPI #1982959615
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

MAGNOLIA SURGERY, PC is a surgeon located in KATHLEEN, GA. NPPES has assigned the NPI number 1982959615 to MAGNOLIA SURGERY, PC on July 18, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 13 years ago on Jan 31, 2013. 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 SURGERY, PC below.

NPI Profile for
MAGNOLIA SURGERY, PC

NPI Number
1982959615
Enumeration Date

(about 14 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 SURGERY, PC
Primary location
1118 HIGHWAY 96 WEST
SUITE 1
KATHLEEN, GA 31047
Phone: (478) 287-6574 Fax: (478) 287-6579
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KERRY RODGERS
PHYSICIAN/OWNER
Phone: (478) 287-6574
Updated
Identifiers

Identifiers for MAGNOLIA SURGERY, 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
OTHERINDIVIDUAL NPI#GA1669674909
MEDICAIDGA003130442A
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
208600000X
- Surgery (Primary)
GA 23837

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.