ADVANCED SOUTHERN IMAGING LLC — NPI 1184242398 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in CONYERS, GA)

CMS-1500 Box 24J / 33a • NPI

1184242398

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0207X (CMS 45)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA, 30094-6600

✓ 9-Digit EDI 837 ZIP+4 (30094-6600)

Practice Phone & Referral Fax

(844) 337-2837

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184242398 (ADVANCED SOUTHERN IMAGING 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	`1184242398` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED SOUTHERN IMAGING LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0207X` (Clinic/Center, Radiology, Mobile Mammography)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA, 30094-6600
Practice Telephone / Fax	Tel: (844) 337-2837
Administrative Mailing Address	1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA, 30094-6600
Enumeration & Last Sync	Enumerated: 2020-07-14 \| CMS Record Updated: 2022-04-07
Authorized Official	HOLLY HUGHES (Managing Partner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA, 30094-6600

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Plain-English Taxonomy & CMS Crosswalk (261QR0207X)

What Does Taxonomy Code 261QR0207X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0207X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 45 (Mammography Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED SOUTHERN IMAGING LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0207X` — Clinic/Center, Radiology, Mobile Mammography Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED SOUTHERN IMAGING LLC (NPI #1184242398)