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GARY G. BOLTON, M. D., P. A.
NPI 1205067188
Clinic/Center in Ridgeland, MS

Active since July 27, 2009
305 HIGHLAND PARK COVE, RIDGELAND, MS 39157(601) 206-9433 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary G. Bolton, M. D., P. A. NPPES

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

GARY G. BOLTON, M. D., P. A. (NPI 1205067188) is a healthcare organization registered as a clinic/center in Ridgeland, Mississippi and active in the NPI registry since July 2009. The organization lists Gary G Bolton, President, as its authorized official.

NPPES Registry Identity

NPI1205067188
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGARY G. BOLTON, M. D., P. A.
Location Address305 HIGHLAND PARK COVERidgeland, MS 39157-6059
Mailing Address305 Highland Park CoveRidgeland, MS 39157-6059
Phone(601) 206-9433
Organization SubpartNo
Authorized OfficialGary G BoltonPresident · (601) 206-9433
Enumeration DateJuly 27, 2009
✔ NPI 1205067188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MS · 10243
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
305 HIGHLAND PARK COVE, Ridgeland, MS 39157
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Other Identifiers 2

Medicaid00111886MS
Medicare PIN070000036

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 Gary G. Bolton, M. D., P. A.'s NPI number?

The NPI number for Gary G. Bolton, M. D., P. A. is 1205067188. It was assigned to this organization in the NPPES registry on July 27, 2009.

Where is Gary G. Bolton, M. D., P. A. located?

Gary G. Bolton, M. D., P. A. is located at 305 Highland Park Cove, Ridgeland, MS 39157. The listed phone number is (601) 206-9433.

What is Gary G. Bolton, M. D., P. A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gary G. Bolton, M. D., P. A. was last updated on July 27, 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.