4D HEALTHCARE, LLC
NPI 1164129755
Clinic/Center - Multi-Specialty in Columbus, MS
About 4d Healthcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
4D HEALTHCARE, LLC (NPI 1164129755), doing business as 4d Healthcare, is a healthcare organization registered as a multi-specialty in Columbus, Mississippi and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Tanya S Cockrell, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
4d Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 4D Healthcare, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2277736
4D Healthcare · Columbus, MSFrequently 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 4D Healthcare, LLC's NPI number?
The NPI number for 4D Healthcare, LLC is 1164129755. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as 4D Healthcare.
Where is 4D Healthcare, LLC located?
4D Healthcare, LLC is located at 1324 Military Rd, Columbus, MS 39701. The listed phone number is (662) 630-5001.
What is 4D Healthcare, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is 4D Healthcare, LLC enrolled in Medicare?
Yes. 4D Healthcare, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 4D Healthcare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 4D Healthcare, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 4D Healthcare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2277736) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does 4D Healthcare, LLC accept?
Health plans from Molina Healthcare list 4D Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for 4D Healthcare, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# 4d Healthcare, Llc · NPI 1164129755
Multi-Specialty organization in Columbus, Mississippi. Organization record, active in the CMS NPPES registry since February 14, 2023.
## Identity
- **NPI:** 1164129755 (Entity type: Organization)
- **Enumerated:** February 14, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** 4D Healthcare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tanya Cockrell, OWNER/OPERATOR
## Practice location
- **Address:** 1324 MILITARY RD, Columbus, MS 39701-3616
- **Phone:** (662) 630-5001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164129755) · Data from the CMS NPPES public registry.