CMS-1500 Box 24J / 33a • NPI
1215754494
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
171100000X
Licensed & Credentialed Acupuncturist
Box 32 Service Location & ZIP+4
2148 DULUTH HWY STE 110, DULUTH, GA, 30097-4504
✓ 9-Digit EDI 837 ZIP+4 (30097-4504)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215754494 (ACU-WELLNESS GROUP) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215754494 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACU-WELLNESS GROUP |
| Plain-English Specialty | Licensed & Credentialed Acupuncturist NUCC Code: 171100000X (Acupuncturist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2148 DULUTH HWY STE 110, DULUTH, GA, 30097-4504 |
| Practice Telephone / Fax | Tel: (404) 645-2005 |
| Administrative Mailing Address | 5805 SUGARLOAF PKWY UNIT 1214, LAWRENCEVILLE, GA, 30043-6568 |
| Enumeration & Last Sync | Enumerated: 2024-09-20 | CMS Record Updated: 2025-09-02 |
| Authorized Official | SOOK SUNG AN KIL (Director/Acupuncturist) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (171100000X)
What Does Taxonomy Code 171100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171100000X translates to:
"Licensed & Credentialed Acupuncturist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACU-WELLNESS GROUP)
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
- 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 |
|---|---|
171100000X — AcupuncturistPlain English: Licensed & Credentialed Acupuncturist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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