BOLIVAR PHYSICIAN PRACTICES LLC
NPI 1043454655
Family Medicine in Cleveland, MS
NPI Status: Active since April 27, 2009
Contact Information
810 E SUNFLOWER RD
STE. 100A
CLEVELAND, MS
ZIP 38732
Phone: (662) 843-8885
Fax: (662) 843-2280
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 25D0316773
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-15-2027
About BOLIVAR PHYSICIAN PRACTICES LLC
This page provides the complete NPI Profile along with additional information for Bolivar Physician Practices Llc, a primary care provider established in Cleveland, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1043454655 assigned on April 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Bolivar Physician Practices Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kathy Teague (Vp, Corporate Secretary)
- NPI
- 1043454655
- Provider Name
- BOLIVAR PHYSICIAN PRACTICES LLC
- Entity Type
- Organization
- Location Address
- 810 E SUNFLOWER RD STE. 100A CLEVELAND, MS 38732
- Location Phone
- (662) 843-8885
- Location Fax
- (662) 843-2280
- Mailing Address
- 810 E SUNFLOWER RD STE 100A CLEVELAND, MS 38732
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-27-2009
- Last Update Date
- 06-03-2024
- Code Navigator
A primary care provider (PCP) like Bolivar Physician Practices Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 4 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 6 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0316773
- Facility Type
- Physician Office
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- DR. STEVEN CLARK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Bolivar Physician Practices Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for BOLIVAR PHYSICIAN PRACTICES LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 4 | 5 | 4 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 8 | 5 | 8 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 8 + 5 + 8 + 6 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1043454655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831168350 | DR. PAUL WARRINGTON MD Individual | Family Medicine | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 843-3606 |
| 1205895448 | DR. DAVID WALT MD Individual | Family Medicine | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 843-3606 |
| 1972562114 | MRS. JACKIE BARNES NP Individual | Nurse Practitioner (Family) | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 843-3606 |
| 1003832247 | PATRICIA WONG WOLF RPH Individual | Pharmacist | 810 E SUNFLOWER RD SUITE 100-D CLEVELAND, MS 38732 (662) 843-4214 |
| 1912919234 | JAMES EDWARD WARRINGTON JR. D.O. Individual | Family Medicine | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 843-3606 |
| 1073607685 | DAVID M CROWE P.T. Individual | Physical Therapist | 810 E SUNFLOWER RD SUITE 150 CLEVELAND, MS 38732 (662) 843-4990 |
| 1396839908 | DENNIS RYAN SHORT P.T. Individual | Physical Therapist | 810 E SUNFLOWER RD SUITE 150 CLEVELAND, MS 38732 (662) 843-4990 |
| 1457446445 | ADVANCE PHYSICAL THERAPY Organization | Clinic/Center (Physical Therapy) | 810 E SUNFLOWER RD SUITE 150 CLEVELAND, MS 38732 (662) 843-4990 |
| 1689761280 | DR. CHARLES E BROCK JR. M.D. Individual | Family Medicine | 810 E SUNFLOWER RD CLEVELAND, MS 38732 (662) 843-3606 |
| 1134347958 | CLEVELAND MEDICAL CLINIC PLLC Organization | Family Medicine | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 843-3606 |
| 1669678447 | MS. PAMELA STEPHAN GRIFFIN M.S. CCC-SLP Individual | Speech-Language Pathologist | 810 E SUNFLOWER RD CLEVELAND, MS 38732 (662) 721-8164 |
| 1639353600 | BOLIVAR COUNTY CAA Organization | Home Health | 810 E SUNFLOWER RD SUITE 120 CLEVELAND, MS 38732 (662) 846-1491 |
| 1184994634 | DR. JOY VICTORIA LONG D.C. Individual | Chiropractor | 810 E SUNFLOWER RD SUITE 100E CLEVELAND, MS 38732 (662) 721-4496 |
| 1902176373 | LONG CHIROPRACTIC PLLC Organization | Chiropractor | 810 E SUNFLOWER RD SUITE 100 E CLEVELAND, MS 38732 (662) 721-4496 |
| 1467794578 | THE MEDICAL TECHNOLOGY INSTITUTE Organization | Nurse Practitioner (Family) | 810 E SUNFLOWER RD SUITE J CLEVELAND, MS 38732 (662) 931-3645 |
| 1518394287 | URGENT TEAM MANAGEMENT OF CLEVELAND, LLC Organization | Clinic/Center (Primary Care) | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (615) 988-2014 |
| 1275624868 | CARRIE JANOUS CFNP Individual | Nurse Practitioner (Family) | 810 E SUNFLOWER RD SUITE 100E CLEVELAND, MS 38732 (662) 846-6034 |
| 1144241910 | ANGELA D PARISH CFNP Individual | Nurse Practitioner (Family) | 810 E SUNFLOWER RD STE 100E CLEVELAND, MS 38732 (662) 846-6034 |
| 1992857106 | DR. BENNIE B WRIGHT M.D. Individual | Surgery | 810 E SUNFLOWER RD SUITE 100A CLEVELAND, MS 38732 (662) 846-6015 |
| 1104332089 | CLARE ADAMS MOORE FNP Individual | Nurse Practitioner | 810 E SUNFLOWER RD CLEVELAND, MS 38732 (662) 579-0136 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043454655, enumerated in the NPI registry as an "organization" on April 27, 2009
The provider is located at 810 E Sunflower Rd Ste. 100a Cleveland, Ms 38732 and the phone number is (662) 843-8885
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D0316773 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on April 27, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.