Mooneyham Properties
NPI 1184913014ActiveOrganization· Clinic/Center· Brandon, MS
Clinic/Center in Brandon, Mississippi, registered in NPPES in March 2011. The authorized official on file is Jennifer Wedgeworth Mooneyham, FNP-BC, Provider/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184913014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2011 |
| Last updated in NPPES | Mar 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | MS845026 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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