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

Q: 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.

Q: What is Mooneyham Properties's specialty?

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

Active since March 31, 2011CLIA 25D2022088 · Waiver

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: August 16, 2026.

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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 holds a CLIA Waiver certificate valid through March 27, 2027 and 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

Phone(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

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Other Names 1

Doing Business As4 The Family Healthcare

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 25D2022088

4 The Family Healthcare · Brandon, MS

Active · expires Mar 27, 2027

CLIA Number25D2022088

Laboratory TypePractitioner Other

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorNieta Allen

Laboratory Phone(601) 919-1090

Laboratory Location4 The Family Healthcare1127 Old Fannin Road, C, Brandon, MS 39047

CLIA data matches this NPI record on: Address Name

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.

JENNIFER WEDGEWORTH MOONEYHAM FNP-BC

Nurse Practitioner

1127 OLD FANNIN RD, SUITE C
BRANDON, MS 39047

Rankin County (601) 214-4420

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.

Does Mooneyham Properties hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2022088) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.