CMS-1500 Box 24J / 33a • NPI
1124442488
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
241 CHURCH ST, HAYESVILLE, NC, 28904-9688
✓ 9-Digit EDI 837 ZIP+4 (28904-9688)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124442488 (SALLY IRENE CODY, FNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1124442488)
Medicare Beneficiaries
282
Total Billed Services
2,226
Distinct CPT/HCPCS Codes
69
Medicare Allowed Total
$90,590.76
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 46 |
83036 | Hemoglobin a1c level | 37 |
87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 25 |
90653 | Influenza vaccine, inactivated | 43 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 |
96372 | Injection of drug or substance under skin or into muscle | 28 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 145 | 45 |
| Alendronate Sodium Alendronate Sodium | 135 | 39 |
| Allopurinol Allopurinol | 132 | 32 |
| Alprazolam Alprazolam | 89 | 13 |
| Amiodarone Hcl Amiodarone Hcl | 15 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 79 | 15 |
| Amlodipine Besylate Amlodipine Besylate | 246 | 65 |
| Amoxicillin Amoxicillin | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124442488 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SALLY IRENE CODY, FNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 241 CHURCH ST, HAYESVILLE, NC, 28904-9688 |
| Practice Telephone / Fax | Tel: (828) 389-6383 | Fax: (828) 389-6803 |
| Administrative Mailing Address | 52 RUEL HALL RD, HAYESVILLE, NC, 28904-7108 |
| Enumeration & Last Sync | Enumerated: 2014-02-06 | CMS Record Updated: 2022-07-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SALLY IRENE CODY, FNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: NC | License: 5006731 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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