4 THE FAMILY HEALTHCARE
NPI 1184913014
Clinic/Center in Brandon, MS
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
Specialties & Licenses
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)
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)
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 25D2022088
4 The Family Healthcare · Brandon, 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 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.
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.
What insurance does Mooneyham Properties accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Mooneyham Properties 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 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.
# 4 The Family Healthcare · NPI 1184913014
Clinic/Center organization in Brandon, Mississippi. Organization record, active in the CMS NPPES registry since March 31, 2011.
## Identity
- **NPI:** 1184913014 (Entity type: Organization)
- **Enumerated:** March 31, 2011
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Mooneyham Properties
- **Organization subpart:** No
- **Authorized official:** Jennifer Mooneyham, PROVIDER/OWNER
## Practice location
- **Address:** 1127 OLD FANNIN RD, C, Brandon, MS 39047-9265
- **Phone:** (601) 214-4420
## 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:** March 31, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184913014) · Data from the CMS NPPES public registry.