Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phc-Cleveland LLC

Organization Anesthesiology Physician · NPI 1528158532

Phc-Cleveland LLC is an Anesthesiology Physician in Cleveland, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone: (662) 846-0061
Fax: (662) 846-5680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Body Imaging Physician Taxonomy 2085B0100X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1528158532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Administrator · (502) 596-6063
Other names Bolivar Medical Center; Bolivar Medical Center
NPI enumeratedOctober 13, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address901 E Sunflower Rd, Cleveland, MS 38732-2833

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