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COOPER FAMILY MEDICAL CENTER INC.
NPI 1356478564
Clinic/Center in Pascagoula, MS

Active since February 27, 2007CLIA 25D1044207 · Waiver
4305 DENNY AVE, PASCAGOULA, MS 39581(228) 762-2044(228) 762-2064 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1356478564
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOOPER FAMILY MEDICAL CENTER INC.
Location Address4305 DENNY AVEPascagoula, MS 39581-5509
Mailing Address4305 Denny AvePascagoula, MS 39581-5509 · (228) 762-2044 · Fax (228) 762-2064
Phone(228) 762-2044
Fax(228) 762-2064
Organization SubpartNo
Authorized OfficialKevin S. CooperPresident · (228) 762-2044
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 25, 2017
✔ NPI 1356478564 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 · 13038
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).
4305 DENNY AVE, Pascagoula, MS 39581
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Other Identifiers 1

Medicare PIN010000331MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D1044207

Cooper Family Med · Pascagoula, MS
Active · expires Aug 14, 2027
CLIA Number25D1044207
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorKevin S. Cooper
Laboratory Phone(228) 762-2044
Laboratory LocationCooper Family Med4305 Denny Ave, Pascagoula, MS 39581
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN C ELKINS CRNP
Nurse Practitioner (Family)
4305 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 762-2044
DR. KEVIN SCOTT COOPER MD,MPH
Family Medicine
4305 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 762-2044
PASCAGOULA URGENT CARE CENTER LLC
Clinic/Center (Urgent Care)
4305 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 762-2044
SERENDIPITY MPH
Clinic/Center (Rehabilitation, Substance Use Disorder)
4305 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 627-7558
PHYSICIAN ADVANTAGE URGENT CARE OF PASCAGOULA LLC
Clinic/Center (Urgent Care)
4305 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 762-2044

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 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.

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 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 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 8 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.