Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Rolling Fork Medical Clinic, LLC

Family Medicine Physician in Rolling Fork, MS · enumerated 2019 · authorized official Lisa Hearn, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275174971

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Rolling Fork Medical Clinic, LLC

Practice address 44 S Fourth St, Rolling Fork, MS, 39159

Phone (662) 335-4105

Fax (662) 378-2879

Enumeration date Oct 3, 2019

Last updated in NPPES Oct 3, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lisa Hearn

Title Manager

Phone (662) 335-4105

Other identifiers

Identifier	Type	State	Issuer
05457590	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-03. Verify at npiregistry.cms.hhs.gov.

Where is Rolling Fork Medical Clinic, LLC located?

The practice location on file with NPPES is in Rolling Fork, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-03.