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BOLTON FAMILY CLINIC
NPI 1649555095
Nurse Practitioner - Family in Bolton, MS

Active since October 18, 2011
115 W MADISON ST, BOLTON, MS 39041(601) 866-7723(601) 866-7773 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolton Family Clinic NPPES

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

BOLTON FAMILY CLINIC (NPI 1649555095) is a healthcare organization registered as a family in Bolton, Mississippi and active in the NPI registry since October 2011. The organization lists Lisa Byrd, President, as its authorized official.

NPPES Registry Identity

NPI1649555095
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLISA BYRD HEALTHCARE INC
Location Address115 W MADISON STBolton, MS 39041-3209
Mailing Address115 W Madison StBolton, MS 39041-3209 · (601) 866-7723 · Fax (601) 866-7773
Phone(601) 866-7723
Fax(601) 866-7773
Organization SubpartNo
Authorized OfficialLisa ByrdPresident · (601) 866-7723
Enumeration DateOctober 18, 2011
✔ NPI 1649555095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · F0811435
115 W MADISON ST, Bolton, MS 39041
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Other Names 1

Doing Business AsBolton Family Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LISA BYRD HEALTHCARE INC
Nurse Practitioner
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
JEAN PENNINGTON MARKS GNP-BC
Nurse Practitioner (Gerontology)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
HEALTH WELLNESS PROMOTION LLC
Clinic/Center (Rural Health)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
AMY MONETT-SHAMON SHOULDERS THOMAS FNP-C
Nurse Practitioner (Family)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723

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 Lisa Byrd Healthcare Inc's NPI number?

The NPI number for Lisa Byrd Healthcare Inc is 1649555095. It was assigned to this organization in the NPPES registry on October 18, 2011. The provider is doing business as Bolton Family Clinic.

Where is Lisa Byrd Healthcare Inc located?

Lisa Byrd Healthcare Inc is located at 115 W Madison St, Bolton, MS 39041. The listed phone number is (601) 866-7723.

What is Lisa Byrd Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Byrd Healthcare Inc was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.