1ST & 10 GROUP HOME, INC. #2 — NPI 1215127675 (Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children in TURKEY, NC)

CMS-1500 Box 24J / 33a • NPI

1215127675

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

322D00000X

Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children

Box 32 Service Location & ZIP+4

6090 TURKEY HIGHWAY, TURKEY, NC, 28393-9998

✓ 9-Digit EDI 837 ZIP+4 (28393-9998)

Practice Phone & Referral Fax

(910) 590-2034

Fax: (910) 299-0010

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215127675 (1ST & 10 GROUP HOME, INC. #2) 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	`1215127675` (NPI-2 Organization / Facility)
Provider / Legal Name	1ST & 10 GROUP HOME, INC. #2
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: `322D00000X` (Residential Treatment Facility, Emotionally Disturbed Children)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6090 TURKEY HIGHWAY, TURKEY, NC, 28393-9998
Practice Telephone / Fax	Tel: (910) 590-2034 \| Fax: (910) 299-0010
Administrative Mailing Address	PO BOX 41, CLINTON, NC, 28329-0041
Enumeration & Last Sync	Enumerated: 2007-07-31 \| CMS Record Updated: 2008-03-28
Authorized Official	JERRIS MCPHAIL (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6090 TURKEY HIGHWAY, TURKEY, NC, 28393-9998

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Plain-English Taxonomy & CMS Crosswalk (322D00000X)

What Does Taxonomy Code 322D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"

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 Residential Treatment Facility, Emotionally Disturbed Children for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1ST & 10 GROUP HOME, INC. #2)

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
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: NC \| License: `MHL082071` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1ST & 10 GROUP HOME, INC. #2 (NPI #1215127675)