Phc-Cleveland LLC
NPI 1528158532 · Anesthesiology Physician · Cleveland, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phc-Cleveland LLC is a Anesthesiology Physician organization in Cleveland, MS (NPI 1528158532).
Provider details
- NPI number
- 1528158532
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnetta Traylor, Administrator(502) 596-6063
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Bolivar Medical Center
- Doing business as
- Bolivar Medical Center
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Frequently asked questions
- What is Phc-Cleveland LLC's NPI number?
- Phc-Cleveland LLC's National Provider Identifier (NPI) is 1528158532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phc-Cleveland LLC?
- Phc-Cleveland LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Phc-Cleveland LLC located?
- Phc-Cleveland LLC's practice location on file with NPPES is 901 E Sunflower Rd, Cleveland, MS 38732-2833.
- What is Phc-Cleveland LLC's phone number?
- The practice phone number listed in the NPPES registry for Phc-Cleveland LLC is (662) 846-0061.
- Does Phc-Cleveland LLC accept Medicare?
- Phc-Cleveland LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phc-Cleveland LLC?
- The authorized official listed on Phc-Cleveland LLC's NPPES record is Johnetta Traylor, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phc-Cleveland LLC's NPI active?
- Yes — Phc-Cleveland LLC's NPI (1528158532) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.