BOLIVAR PHYSICIAN PRACTICES LLC
NPI 1205489689
Clinic/Center - Rural Health in Rosedale, MS

Q: What is Bolivar Physician Practices LLC's NPI number?

The NPI number for Bolivar Physician Practices LLC is 1205489689. It was assigned to this organization in the NPPES registry on July 24, 2019. The provider is doing business as Rosedale Family Medical.

Q: What is Bolivar Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 24, 2019

512 LEVEE ST, ROSEDALE, MS 38769(662) 759-6806(662) 759-6771 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Jul 24, 2019 (2 updates tracked since 2019).

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About Bolivar Physician Practices Llc NPPES

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

BOLIVAR PHYSICIAN PRACTICES LLC (NPI 1205489689), doing business as Rosedale Family Medical, is a healthcare organization registered as a rural health in Rosedale, Mississippi and active in the NPI registry since July 2019. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205489689

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBOLIVAR PHYSICIAN PRACTICES LLC

Location Address512 LEVEE STRosedale, MS 38769-5507

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775

Phone(662) 759-6806

Fax(662) 759-6771

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateJuly 24, 2019

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1205489689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

512 LEVEE ST, Rosedale, MS 38769

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Other Names 1

Doing Business AsRosedale Family Medical

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JOEL D GIBSON DMD PA

Dentist (General Practice)

512 LEVEE ST
ROSEDALE, MS 38769

Bolivar County (662) 759-6603

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 1205489689. It was assigned to this organization in the NPPES registry on July 24, 2019. The provider is doing business as Rosedale Family Medical.

Where is Bolivar Physician Practices LLC located?

Bolivar Physician Practices LLC is located at 512 Levee St, Rosedale, MS 38769. The listed phone number is (662) 759-6806.

What is Bolivar Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Bolivar Physician Practices LLC accept?

Health plans from Molina Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.