BOLTON CLINIC, PLLC
NPI 1851429971
Nurse Practitioner - Family in Flowood, MS

Active since March 01, 2007
2001 AIRPORT RD N, SUITE 204, FLOWOOD, MS 39232(601) 932-3191(601) 936-7193 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolton Clinic, Pllc NPPES

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

BOLTON CLINIC, PLLC (NPI 1851429971) is a healthcare organization registered as a family in Flowood, Mississippi and active in the NPI registry since March 2007. The organization lists William F Krooss, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1851429971
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOLTON CLINIC, PLLC
Location Address2001 AIRPORT RD N, SUITE 204Flowood, MS 39232-8827
Mailing Address115 W Madison StBolton, MS 39041 · (601) 866-7723 · Fax (601) 866-7773
Fax(601) 936-7193
Organization SubpartNo
Authorized OfficialWilliam F KroossManaging Member · (601) 932-3191
Enumeration DateMarch 1, 2007
Last NPPES UpdateApril 16, 2008
NPI 1851429971 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 · R652075
2001 AIRPORT RD N, Flowood, MS 39232

Other Identifiers 1

Medicare OSCAR/certification253891

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 3

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

Family Medicine
2001 AIRPORT RD N, SUITE 204
FLOWOOD, MS 39232
Hospice Care, Community Based
2001 AIRPORT RD N, SUITE 301
FLOWOOD, MS 39232
Family Medicine
2001 AIRPORT RD N, SUITE 204
FLOWOOD, MS 39232

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 Bolton Clinic, PLLC's NPI number?

The NPI number for Bolton Clinic, PLLC is 1851429971. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Bolton Clinic, PLLC located?

Bolton Clinic, PLLC is located at 2001 Airport Rd N Suite 204, Flowood, MS 39232. The listed phone number is (601) 932-3191.

What is Bolton Clinic, PLLC'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 Bolton Clinic, PLLC was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.