Bolivar Physician Practices LLC
NPI 1205489689 · Rural Health Clinic/Center · Rosedale, MS
Bolivar Physician Practices LLC is a Rural Health Clinic/Center organization in Rosedale, MS (NPI 1205489689).
Provider details
- NPI number
- 1205489689
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Rosedale Family Medical
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Bolivar Physician Practices LLC's NPI number?
- Bolivar Physician Practices LLC's National Provider Identifier (NPI) is 1205489689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolivar Physician Practices LLC?
- Bolivar Physician Practices LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bolivar Physician Practices LLC located?
- Bolivar Physician Practices LLC's practice location on file with NPPES is 512 Levee St, Rosedale, MS 38769-5507.
- What is Bolivar Physician Practices LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolivar Physician Practices LLC is (662) 759-6806.
- Who is the authorized official for Bolivar Physician Practices LLC?
- The authorized official listed on Bolivar Physician Practices LLC's NPPES record is Charlotte Lawrence, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolivar Physician Practices LLC's NPI active?
- Yes — Bolivar Physician Practices LLC's NPI (1205489689) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.