FAMILY CARE CENTER
NPI 1174279301
Nurse Practitioner in Moss Point, MS
About Family Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY CARE CENTER (NPI 1174279301) is a healthcare organization registered as a nurse practitioner in Moss Point, Mississippi and active in the NPI registry since February 2022. The organization lists Kendra S Gardner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Care Center 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 Family Care Center, 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.
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 Family Care Center LLC's NPI number?
The NPI number for Family Care Center LLC is 1174279301. It was assigned to this organization in the NPPES registry on February 25, 2022. The provider is doing business as Family Care Center.
Where is Family Care Center LLC located?
Family Care Center LLC is located at 4730 Morris St, Moss Point, MS 39563. The listed phone number is (228) 285-0361.
What is Family Care Center LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Family Care Center LLC enrolled in Medicare?
Yes. Family Care Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Care Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Family Care Center 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.
When was this NPI record last updated?
The NPPES record for Family Care Center LLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Family Care Center · NPI 1174279301
Nurse Practitioner organization in Moss Point, Mississippi. Organization record, active in the CMS NPPES registry since February 25, 2022.
## Identity
- **NPI:** 1174279301 (Entity type: Organization)
- **Enumerated:** February 25, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Family Care Center Llc
- **Organization subpart:** No
- **Authorized official:** Kendra Gardner, OWNER
## Practice location
- **Address:** 4730 MORRIS ST, Moss Point, MS 39563-2838
- **Phone:** (228) 285-0361
## 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:** May 23, 2022
- **Other identifiers:** Medicaid 3227521 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174279301) · Data from the CMS NPPES public registry.