Moore Healthy Family Medical Clinic, LLC
NPI 1205137304 · Primary Care Clinic/Center · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moore Healthy Family Medical Clinic, LLC is a Primary Care Clinic/Center organization in Jackson, MS (NPI 1205137304).
Provider details
- NPI number
- 1205137304
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Moore, Owner(601) 307-2450
- License
- MS18036 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-06
- Last updated
- 2013-04-18
Frequently asked questions
- What is Moore Healthy Family Medical Clinic, LLC's NPI number?
- Moore Healthy Family Medical Clinic, LLC's National Provider Identifier (NPI) is 1205137304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moore Healthy Family Medical Clinic, LLC?
- Moore Healthy Family Medical Clinic, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Moore Healthy Family Medical Clinic, LLC located?
- Moore Healthy Family Medical Clinic, LLC's practice location on file with NPPES is 5604 Old Canton Rd, Jackson, MS 39211-4217.
- What is Moore Healthy Family Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Moore Healthy Family Medical Clinic, LLC is (601) 991-1044.
- Does Moore Healthy Family Medical Clinic, LLC accept Medicare?
- Moore Healthy Family Medical Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moore Healthy Family Medical Clinic, LLC?
- The authorized official listed on Moore Healthy Family Medical Clinic, LLC's NPPES record is Robert Moore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moore Healthy Family Medical Clinic, LLC's NPI active?
- Yes — Moore Healthy Family Medical Clinic, LLC's NPI (1205137304) is active in the NPPES registry as of the last update on 2013-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.