BOLTON FAMILY CLINIC
NPI 1164660635
Nurse Practitioner in Bolton, MS

Active since January 22, 2009
115 W MADISON ST, BOLTON, MS 39041(601) 866-7723(601) 866-7773 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner

About BOLTON FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Bolton Family Clinic, a provider established in Bolton, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1164660635 assigned on January 2009. The practitioner's primary taxonomy code is 363L00000X with license number R652075 (MS). The provider is registered as an organization and their NPI record was last updated 18 years ago. Bolton Family Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Bolton Family Clinic. The authorized official of this NPI record is Lisa Byrd Cfnp (President)

NPI
1164660635 Verify this NPI
Provider Legal Name
LISA BYRD HEALTHCARE INC
Other Organization Name
BOLTON FAMILY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
115 W MADISON ST BOLTON, MS 39041
Location Phone
(601) 866-7723
Location Fax
(601) 866-7773
Mailing Address
PO BOX 217 BOLTON, MS 39041
Mailing Phone
(601) 866-7723
Mailing Fax
(601) 866-7773
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-22-2009
Last Update Date
01-22-2009
Code Navigator

A nurse practitioner (NP) like Bolton Family Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R652075
License State
MS
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA BYRD CFNP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(601) 866-7723

Reviews for BOLTON FAMILY CLINIC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
115 W MADISON ST
BOLTON, MS 39041
Nurse Practitioner (Gerontology)
115 W MADISON ST
BOLTON, MS 39041
Clinic/Center (Rural Health)
115 W MADISON ST
BOLTON, MS 39041
Nurse Practitioner (Family)
115 W MADISON ST
BOLTON, MS 39041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164660635, enumerated as an "organization" on January 22, 2009.

The provider is located at 115 W MADISON ST BOLTON, MS 39041 and the phone number is (601) 866-7723.

Nurse Practitioner with taxonomy code 363L00000X.