WEST TENNESSEE MEDICAL GROUP PRIMARY CARE BOLIVAR
NPI 1538634050
Family Medicine in Bolivar, TN

Active since October 11, 2018
640 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-3100 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2019, Oct 12, 2018 (2 updates tracked since 2018).

About West Tennessee Medical Group Primary Care Bolivar NPPES

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

WEST TENNESSEE MEDICAL GROUP PRIMARY CARE BOLIVAR (NPI 1538634050) is a healthcare organization registered as a family medicine in Bolivar, Tennessee and active in the NPI registry since October 2018. The organization lists James Ross, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1538634050
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOLIVAR GENERAL HOSPITAL, INC.
Location Address640 NUCKOLLS RDBolivar, TN 38008-1532
Mailing Address620 Skyline DrJackson, TN 38301-3923 · (731) 512-1277 · Fax (731) 984-2199
Organization SubpartYes
Authorized OfficialJames RossPresident And Ceo · (731) 512-1277
Enumeration DateOctober 11, 2018
Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration
NPI 1538634050 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.
640 NUCKOLLS RD, Bolivar, TN 38008

Other Names 1

Doing Business AsWest Tennessee Medical Group Primary Care Bolivar

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

Other Providers at the Same Location NPPES 5

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

Internal Medicine
640 NUCKOLLS RD
BOLIVAR, TN 38008
Pharmacist
640 NUCKOLLS RD
BOLIVAR, TN 38008
Pharmacy (Community/Retail Pharmacy)
640 NUCKOLLS RD
BOLIVAR, TN 38008
Clinic/Center (Primary Care)
640 NUCKOLLS RD
BOLIVAR, TN 38008
Internal Medicine
640 NUCKOLLS RD
BOLIVAR, TN 38008

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 General Hospital, Inc.'s NPI number?

The NPI number for Bolivar General Hospital, Inc. is 1538634050. It was assigned to this organization in the NPPES registry on October 11, 2018. The provider is doing business as West Tennessee Medical Group Primary Care Bolivar.

Where is Bolivar General Hospital, Inc. located?

Bolivar General Hospital, Inc. is located at 640 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-3100.

What is Bolivar General Hospital, Inc.'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 Bolivar General Hospital, Inc. was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.