ELG LEARNING GROUP, LLC — NPI 1164294690 (Licensed & Credentialed Early Intervention Provider Agency in GASTON, SC)

CMS-1500 Box 24J / 33a • NPI

1164294690

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

252Y00000X

Licensed & Credentialed Early Intervention Provider Agency

Box 32 Service Location & ZIP+4

241 WOODCOTE DR, GASTON, SC, 29053-8479

✓ 9-Digit EDI 837 ZIP+4 (29053-8479)

Practice Phone & Referral Fax

(803) 397-6902

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164294690 (ELG LEARNING GROUP, LLC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164294690` (NPI-2 Organization / Facility)
Provider / Legal Name	ELG LEARNING GROUP, LLC
Plain-English Specialty	Licensed & Credentialed Early Intervention Provider Agency NUCC Code: `252Y00000X` (Early Intervention Provider Agency)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	241 WOODCOTE DR, GASTON, SC, 29053-8479
Practice Telephone / Fax	Tel: (803) 397-6902
Administrative Mailing Address	PO BOX 812, GASTON, SC, 29053-0812
Enumeration & Last Sync	Enumerated: 2023-10-27 \| CMS Record Updated: 2023-10-27
Authorized Official	JOANNA WALLACE (Co-Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

241 WOODCOTE DR, GASTON, SC, 29053-8479

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Plain-English Taxonomy & CMS Crosswalk (252Y00000X)

What Does Taxonomy Code 252Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 252Y00000X translates to:
"Licensed & Credentialed Early Intervention Provider Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Early Intervention Provider Agency for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELG LEARNING GROUP, LLC)

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

Common Therapeutic Classes:

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
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ELG LEARNING GROUP, LLC (NPI #1164294690)