Kirsten J Bolton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16344 Issued in MS

Practice address

2781 Highway 145
Saltillo, MS 38866-9783

Phone

(662) 869-0033

Fax

(662) 869-0053

NPI assigned

Jul 20, 2006

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Tennessee, HSC, College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bolton Family Medical Clinic, P.C.

  • Family Medicine Physician
  • Saltillo, MS
  • NPI 1811178577
  Medicare reassignment NPD Authorized official
• Frances W. Herod LLC

  dba Lower Crossing Medical Clinic

  • Family Nurse Practitioner
  • Sherman, MS
  • NPI 1407966625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Mississippi Medical Center, Inc.

  dba North MS Medical Center Home Health Agency

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1194745497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388661308",
            "telephone_number": "662-869-0033",
            "fax_number": "662-869-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669783",
            "telephone_number": "662-869-0033",
            "fax_number": "662-869-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KIRSTEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120764",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Turman Bean, MSOT
• David Walden Bell, M.D.
• Mary Katherine Benavidez, CPNP-PC
• Shuya Bi, DDS
• Bolton Family Medical Clinic, P.C.
• Joshua Edwin Bostick, O.D.
• Mary Jennings Bouchillon, DPT
• Emily Brandon, LCSW
• Julie C. Brock, O.D.
• Mandy Michelle Brown, M.ED., LPC

• Family Medicine Physician in Saltillo, MS
• Providers in Saltillo, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.