BOLIVAR PHYSICIAN PRACTICES LLC
NPI 1316388416
Urology in Cleveland, MS
About Bolivar Physician Practices Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLIVAR PHYSICIAN PRACTICES LLC (NPI 1316388416), doing business as Bolivar Urology Clinic, is a healthcare organization registered as an urology in Cleveland, Mississippi and active in the NPI registry since July 2013. The organization lists Charlotte E Lawrence, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bolivar Physician Practices Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Bolivar Physician Practices LLC, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 42Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1316388416. It was assigned to this organization in the NPPES registry on July 17, 2013. The provider is doing business as Bolivar Urology Clinic.
Where is Bolivar Physician Practices LLC located?
Bolivar Physician Practices LLC is located at 907 E Sunflower Rd Suite 103, Cleveland, MS 38732. The listed phone number is (662) 846-9990.
What is Bolivar Physician Practices LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Bolivar Physician Practices LLC enrolled in Medicare?
Yes. Bolivar Physician Practices LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bolivar Physician Practices LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 8 Medicare specialties reassign their Medicare billing to Bolivar Physician Practices LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Obstetrics/Gynecology (7) and General Surgery (6). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bolivar Physician Practices LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 4 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.
# Bolivar Physician Practices Llc · NPI 1316388416
Urology organization in Cleveland, Mississippi. Organization record, active in the CMS NPPES registry since July 17, 2013.
## Identity
- **NPI:** 1316388416 (Entity type: Organization)
- **Enumerated:** July 17, 2013
- **Primary specialty:** Urology · taxonomy 208800000X
- **Also known as:** Bolivar Urology Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 907 E SUNFLOWER RD, SUITE 103, Cleveland, MS 38732-2830
- **Phone:** (662) 846-9990 · **Fax:** (662) 846-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Obstetrics/Gynecology (7), General Surgery (6); 19 practice within 10 miles; [full list](https://npiprofile.com/npi/1316388416/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1316388416) · Data from the CMS NPPES public registry.