MOORE HEALTHY FAMILY MEDICAL CLINIC, LLC
NPI 1205137304
Clinic/Center - Primary Care in Jackson, MS
About Moore Healthy Family Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOORE HEALTHY FAMILY MEDICAL CLINIC, LLC (NPI 1205137304) is a healthcare organization registered as a primary care in Jackson, Mississippi and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Robert L Moore, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 25D2016167
Moore Healthy Family Medical Clinic, LLC · Jackson, MSOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Moore Healthy Family Medical Clinic, LLC's NPI number?
The NPI number for Moore Healthy Family Medical Clinic, LLC is 1205137304. It was assigned to this organization in the NPPES registry on November 6, 2010.
Where is Moore Healthy Family Medical Clinic, LLC located?
Moore Healthy Family Medical Clinic, LLC is located at 5604 Old Canton Rd, Jackson, MS 39211. The listed phone number is (601) 991-1044.
What is Moore Healthy Family Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Moore Healthy Family Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2016167) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Moore Healthy Family Medical Clinic, 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 Moore Healthy Family Medical Clinic, 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 Moore Healthy Family Medical Clinic, LLC was last updated on April 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
