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

Rolling Fork Medical Clinic, LLC

Organization Family Medicine Physician · NPI 1275174971

Rolling Fork Medical Clinic, LLC is a Family Medicine Physician in Rolling Fork, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

44 S Fourth St
Rolling Fork, MS 39159-5147
Phone: (662) 335-4105
Fax: (662) 378-2879
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275174971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hearn — Manager · (662) 335-4105
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019
Mailing address1997 Medical Park Dr, Greenville, MS 38703-7268

Other providers in Rolling Fork