COOPER FAMILY MEDICAL CENTER INC.
NPI 1356478564
Clinic/Center in Pascagoula, MS
About Cooper Family Medical Center Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COOPER FAMILY MEDICAL CENTER INC. (NPI 1356478564) is a healthcare organization registered as a clinic/center in Pascagoula, Mississippi and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Kevin S. Cooper, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Cooper Family Medical Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cooper Family Medical Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 25D1044207
Cooper Family Med · Pascagoula, 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 Cooper Family Medical Center Inc.'s NPI number?
The NPI number for Cooper Family Medical Center Inc. is 1356478564. It was assigned to this organization in the NPPES registry on February 27, 2007.
Where is Cooper Family Medical Center Inc. located?
Cooper Family Medical Center Inc. is located at 4305 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 762-2044.
What is Cooper Family Medical Center Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Cooper Family Medical Center Inc. enrolled in Medicare?
Yes. Cooper Family Medical Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cooper Family Medical Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cooper Family Medical Center Inc., in General Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cooper Family Medical Center Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1044207) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cooper Family Medical Center Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Cooper Family Medical Center Inc. 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 Cooper Family Medical Center Inc. was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Cooper Family Medical Center Inc. · NPI 1356478564
Clinic/Center organization in Pascagoula, Mississippi. Organization record, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1356478564 (Entity type: Organization)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Cooper, PRESIDENT
## Practice location
- **Address:** 4305 DENNY AVE, Pascagoula, MS 39581-5509
- **Phone:** (228) 762-2044 · **Fax:** (228) 762-2064
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2017
- **Other identifiers:** Medicare PIN 010000331 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356478564) · Data from the CMS NPPES public registry.