Bolivar Physician Practices LLC
NPI 1043454655ActiveOrganization· Family Medicine· Cleveland, MS
Family Medicine in Cleveland, Mississippi, registered in NPPES in April 2009. The authorized official on file is Charlotte Lawrence, Secretary.
Overview
| NPI | 1043454655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2009 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Otolaryngology | 207Y00000X | — | — |
| Urology | 208800000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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