4 THE FAMILY HEALTHCARE
NPI 1184913014
Clinic/Center in Brandon, MS

Active since March 31, 2011
1127 OLD FANNIN RD, C, BRANDON, MS 39047(601) 214-4420 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About 4 The Family Healthcare NPPES

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

4 THE FAMILY HEALTHCARE (NPI 1184913014) is a healthcare organization registered as a clinic/center in Brandon, Mississippi and active in the NPI registry since March 2011. The organization lists Jennifer Wedgeworth Mooneyham, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1184913014
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOONEYHAM PROPERTIES
Location Address1127 OLD FANNIN RD, CBrandon, MS 39047-9265
Mailing Address1127 Old Fannin Rd, CBrandon, MS 39047-9265 · (601) 214-4420
Organization SubpartNo
Authorized OfficialJennifer Wedgeworth MooneyhamProvider/owner · (601) 214-4420
Enumeration DateMarch 31, 2011
✔ NPI 1184913014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MS · MS845026
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1127 OLD FANNIN RD, Brandon, MS 39047

Other Names 1

Doing Business As4 The Family Healthcare

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

4 The Family Healthcare 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 4 The Family Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1134349913
1127 OLD FANNIN RD SUITE C
Brandon, MS 39047
(601) 214-4420
✔ PECOS✔ Accepts MedicareSame address

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 Mooneyham Properties's NPI number?

The NPI number for Mooneyham Properties is 1184913014. It was assigned to this organization in the NPPES registry on March 31, 2011. The provider is doing business as 4 The Family Healthcare.

Where is Mooneyham Properties located?

Mooneyham Properties is located at 1127 Old Fannin Rd C, Brandon, MS 39047. The listed phone number is (601) 214-4420.

What is Mooneyham Properties's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Mooneyham Properties enrolled in Medicare?

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

How many clinicians bill Medicare through Mooneyham Properties?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mooneyham Properties. 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 Mooneyham Properties was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.