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: August 09, 2026.

About Bolton Family Clinic NPPES

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

BOLTON FAMILY CLINIC (NPI 1164660635) is a healthcare organization registered as a nurse practitioner in Bolton, Mississippi and active in the NPI registry since January 2009. The organization lists Lisa Byrd, President, as its authorized official.

NPPES Registry Identity

NPI1164660635
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLISA BYRD HEALTHCARE INC
Location Address115 W MADISON STBolton, MS 39041-3209
Mailing AddressPo Box 217Bolton, MS 39041-0217 · (601) 866-7723 · Fax (601) 866-7773
Fax(601) 866-7773
Organization SubpartYesParent: Mississippi Nurse Practitioners Inc
Authorized OfficialLisa ByrdPresident · (601) 866-7723
Enumeration DateJanuary 22, 2009
NPI 1164660635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R652075
Definition
(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.
115 W MADISON ST, Bolton, MS 39041

Other Names 1

Doing Business AsBolton Family Clinic

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Gerontology)
115 W MADISON ST
BOLTON, MS 39041
Nurse Practitioner (Family)
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 NPPES & CMS

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

What is Lisa Byrd Healthcare Inc's NPI number?

The NPI number for Lisa Byrd Healthcare Inc is 1164660635. It was assigned to this organization in the NPPES registry on January 22, 2009. The provider is doing business as Bolton Family Clinic.

Where is Lisa Byrd Healthcare Inc located?

Lisa Byrd Healthcare Inc is located at 115 W Madison St, Bolton, MS 39041. The listed phone number is (601) 866-7723.

What is Lisa Byrd Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Byrd Healthcare Inc was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.