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JEFFERY H MOONEYHAM CRNP
NPI 1134570500
Nurse Practitioner - Family in Altoona, AL

Active since June 28, 2016PECOS Enrolled
4350 CLEVELAND AVE, ALTOONA, AL 35952(205) 589-6361 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2022, Feb 7, 2019, Jun 28, 2016 (3 updates tracked since 2016).

About Jeffery H Mooneyham Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY H MOONEYHAM CRNP (NPI 1134570500) is an individual family provider in Altoona, Alabama, licensed in Alabama (1109518) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134570500
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFERY H MOONEYHAMCredential: CRNP
Location Address4350 CLEVELAND AVEAltoona, AL 35952
Mailing Address206 Ohara DrAlbertville, AL 35950-2596 · (256) 243-2430
Phone(205) 589-6361
Sole ProprietorYes
Enumeration DateJune 28, 2016
Last NPPES UpdateSeptember 15, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
✔ NPI 1134570500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1109518✔ Licensed in AL · 1-109518
4350 CLEVELAND AVE, Altoona, AL 35952
Open in Google Maps ↗

Other Names 1

Former Name (1)Jeffery H Harris Crnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffery H Mooneyham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeffery Mooneyham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quality Of Life Health Services, Inc
0.1 mi
Community Health
4350 CLEVELAND AVE
Walnut Grove, AL 35952
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1588615959 (205) 589-6361
Medical Asset Group, LLC
14 mi
Family Medicine
3442 US HIGHWAY 431
Albertville, AL 35950
  • Reassigned Medicare billing, Alabama enrollment
  • 9 clinicians in this Medicare group
NPI 1194232132 (256) 907-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY OF LIFE HEALTH SERVICES, INC
Clinic/Center (Community Health)
4350 CLEVELAND AVE
WALNUT GROVE, AL 35952
Etowah County (205) 589-6361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Mooneyham's NPI number?

The NPI number for Jeffery Mooneyham is 1134570500. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Jeffery H Harris Crnp.

Where is Jeffery Mooneyham located?

Jeffery Mooneyham practices at 4350 Cleveland Ave, Altoona, AL 35952. The listed phone number is (205) 589-6361.

What is Jeffery Mooneyham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffery Mooneyham enrolled in Medicare?

Yes. Jeffery Mooneyham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffery Mooneyham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Mooneyham reassigns Medicare benefits to 2 organizations: Quality Of Life Health Services, Inc (Walnut Grove, AL) and Medical Asset Group, LLC (Albertville, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Mooneyham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffery Mooneyham was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.