4D HEALTHCARE, LLC
NPI 1164129755
Clinic/Center - Multi-Specialty in Columbus, MS

Active since February 14, 2023CLIA 25D2277736 · Waiver
1324 MILITARY RD, COLUMBUS, MS 39701(662) 630-5001 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1164129755
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business Name4D HEALTHCARE, LLC
Location Address1324 MILITARY RDColumbus, MS 39701-3616
Mailing Address1324 Military RdColumbus, MS 39701-3616 · (662) 630-5001
Organization SubpartNo
Authorized OfficialTanya S CockrellOwner/operator · (662) 630-5001
Enumeration DateFebruary 14, 2023
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1164129755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1324 MILITARY RD, Columbus, MS 39701

Other Names 1

Doing Business As4d Healthcare

Accepted Insurance

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, MS
Active · expires Mar 2, 2027
CLIA Number25D2277736
Laboratory TypePractitioner Other
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorTanya S. Cockrell
Laboratory Phone(662) 630-5001
Laboratory Location4D Healthcare1324 Military Rd, Columbus, MS 39701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1324 MILITARY RD
COLUMBUS, MS 39701

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 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.

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 with the weekly NPPES data releases published by CMS.