ROLLING FORK MEDICAL CLINIC, LLC
NPI 1275174971
Family Medicine in Rolling Fork, MS

Q: What is Rolling Fork Medical Clinic, LLC's NPI number?

The NPI number for Rolling Fork Medical Clinic, LLC is 1275174971. It was assigned to this organization in the NPPES registry on October 3, 2019.

Q: What is Rolling Fork Medical Clinic, LLC's specialty?

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

Active since October 03, 2019

44 S FOURTH ST, ROLLING FORK, MS 39159(662) 335-4105(662) 378-2879 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Rolling Fork Medical Clinic, Llc NPPES

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

ROLLING FORK MEDICAL CLINIC, LLC (NPI 1275174971) is a healthcare organization registered as a family medicine in Rolling Fork, Mississippi and active in the NPI registry since October 2019. The organization lists Lisa Thomas Hearn, Manager, as its authorized official.

NPPES Registry Identity

NPI1275174971

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameROLLING FORK MEDICAL CLINIC, LLC

Location Address44 S FOURTH STRolling Fork, MS 39159-5147

Mailing Address1997 Medical Park DrGreenville, MS 38703-7268 · (662) 335-4105 · Fax (662) 335-4105

Phone(662) 335-4105

Fax(662) 378-2879

Organization SubpartNo

Authorized OfficialLisa Thomas HearnManager · (662) 335-4105

Enumeration DateOctober 3, 2019

✔ NPI 1275174971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

44 S FOURTH ST, Rolling Fork, MS 39159

Open in Google Maps ↗

Other Identifiers 1

Medicaid05457590MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Rolling Fork Medical Clinic, LLC's NPI number?

The NPI number for Rolling Fork Medical Clinic, LLC is 1275174971. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Rolling Fork Medical Clinic, LLC located?

Rolling Fork Medical Clinic, LLC is located at 44 S Fourth St, Rolling Fork, MS 39159. The listed phone number is (662) 335-4105.

What is Rolling Fork Medical Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Rolling Fork Medical Clinic, LLC was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.