AMC FAMILY MEDICINE — NPI 1215292925 (Licensed & Credentialed Student in an Organized Health Care Education/Training Program in MORROW, GA)

CMS-1500 Box 24J / 33a • NPI

1215292925

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

390200000X

Licensed & Credentialed Student in an Organized Health Care Education/Training Program

Box 32 Service Location & ZIP+4

1000 CORPORATE CENTER DR STE 200, MORROW, GA, 30260-4129

✓ 9-Digit EDI 837 ZIP+4 (30260-4129)

Practice Phone & Referral Fax

(770) 968-6460

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215292925 (AMC FAMILY MEDICINE) 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	`1215292925` (NPI-2 Organization / Facility)
Provider / Legal Name	AMC FAMILY MEDICINE
Plain-English Specialty	Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: `390200000X` (Student in an Organized Health Care Education/Training Program)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1000 CORPORATE CENTER DR STE 200, MORROW, GA, 30260-4129
Practice Telephone / Fax	Tel: (770) 968-6460
Administrative Mailing Address	1000 CORPORATE CENTER DR STE 200, MORROW, GA, 30260-4129
Enumeration & Last Sync	Enumerated: 2012-07-09 \| CMS Record Updated: 2012-07-09
Authorized Official	GEROGE BROWN (program director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1000 CORPORATE CENTER DR STE 200, MORROW, GA, 30260-4129

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Plain-English Taxonomy & CMS Crosswalk (390200000X)

What Does Taxonomy Code 390200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"

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 Student in an Organized Health Care Education/Training Program for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMC FAMILY MEDICINE)

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
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: GA \| License: `05745` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMC FAMILY MEDICINE (NPI #1215292925)