ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC — NPI 1205596962 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in LAUREL HILL, NC)

CMS-1500 Box 24J / 33a • NPI

1205596962

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR1300X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

18901 IDA MILL RD, LAUREL HILL, NC, 28351-8326

✓ 9-Digit EDI 837 ZIP+4 (28351-8326)

Practice Phone & Referral Fax

(870) 856-1202

Fax: (870) 856-2107

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205596962 (ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC) 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	`1205596962` (NPI-2 Organization / Facility)
Provider / Legal Name	ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR1300X` (Clinic/Center, Rural Health)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	18901 IDA MILL RD, LAUREL HILL, NC, 28351-8326
Practice Telephone / Fax	Tel: (870) 856-1202 \| Fax: (870) 856-2107
Administrative Mailing Address	4196 HIGHWAY 62 412 STE A, HARDY, AR, 72542-8002
Enumeration & Last Sync	Enumerated: 2021-12-22 \| CMS Record Updated: 2023-04-11
Authorized Official	BRADLEY BIBB (Owner/CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18901 IDA MILL RD, LAUREL HILL, NC, 28351-8326

🗺️ Open in Google Maps 🏥 More Providers in LAUREL HILL

🔒 Are you ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QR1300X)

What Does Taxonomy Code 261QR1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Rural Health Clinic)
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 (ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC)

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
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR1300X` — Clinic/Center, Rural Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC (NPI #1205596962)