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BOLIVAR PHYSICIAN PRACTICES LLC
NPI 1043454655
Family Medicine in Cleveland, MS

Active since April 27, 2009
810 E SUNFLOWER RD, STE. 100A, CLEVELAND, MS 38732(662) 843-8885(662) 843-2280 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Jun 3, 2024 (2 updates tracked since 2024).

About Bolivar Physician Practices Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLIVAR PHYSICIAN PRACTICES LLC (NPI 1043454655) is a healthcare organization registered as a family medicine in Cleveland, Mississippi and active in the NPI registry since April 2009. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1043454655
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOLIVAR PHYSICIAN PRACTICES LLC
Location Address810 E SUNFLOWER RD, STE. 100ACleveland, MS 38732-2800
Mailing Address810 E Sunflower Rd Ste 100aCleveland, MS 38732-2828
Phone(662) 843-8885
Fax(662) 843-2280
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateApril 27, 2009
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1043454655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
810 E SUNFLOWER RD, Cleveland, MS 38732
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA WONG WOLF RPH
Pharmacist
810 E SUNFLOWER RD, SUITE 100-D
CLEVELAND, MS 38732
Bolivar County (662) 843-4214
DR. STEVEN GLENN CLARK M.D
Internal Medicine
810 E SUNFLOWER RD
CLEVELAND, MS 38732
Bolivar County (662) 843-3606
DAVID M CROWE P.T.
Physical Therapist
810 E SUNFLOWER RD, SUITE 150
CLEVELAND, MS 38732
Bolivar County (662) 843-4990
CLARE ADAMS MOORE FNP
Nurse Practitioner
810 E SUNFLOWER RD
CLEVELAND, MS 38732
Bolivar County (662) 579-0136
CLEVELAND MEDICAL CLINIC PLLC
Family Medicine
810 E SUNFLOWER RD, SUITE 100A
CLEVELAND, MS 38732
Bolivar County (662) 843-3606
ANGELA D PARISH CFNP
Nurse Practitioner (Family)
810 E SUNFLOWER RD, STE 100E
CLEVELAND, MS 38732
Bolivar County (662) 846-6034
DR. JOY VICTORIA LONG D.C.
Chiropractor
810 E SUNFLOWER RD, SUITE 100E
CLEVELAND, MS 38732
Bolivar County (662) 721-4496
DR. DAVID WALT MD
Family Medicine
810 E SUNFLOWER RD, SUITE 100A
CLEVELAND, MS 38732
Bolivar County (662) 843-3606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolivar Physician Practices LLC's NPI number?

The NPI number for Bolivar Physician Practices LLC is 1043454655. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Bolivar Physician Practices LLC located?

Bolivar Physician Practices LLC is located at 810 E Sunflower Rd Ste. 100A, Cleveland, MS 38732. The listed phone number is (662) 843-8885.

What is Bolivar Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Bolivar Physician Practices LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Bolivar Physician Practices LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bolivar Physician Practices LLC was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.