AINSLEY MEDICAL LLC — NPI 1265124689 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in BURLINGTON, NC)

CMS-1500 Box 24J / 33a • NPI

1265124689

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QE0002X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2961 CROUSE LN, BURLINGTON, NC, 27215-1016

✓ 9-Digit EDI 837 ZIP+4 (27215-1016)

Practice Phone & Referral Fax

(434) 770-1191

Fax: (434) 770-2548

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265124689 (AINSLEY MEDICAL 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	`1265124689` (NPI-2 Organization / Facility)
Provider / Legal Name	AINSLEY MEDICAL LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QE0002X` (Clinic/Center, Emergency Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2961 CROUSE LN, BURLINGTON, NC, 27215-1016
Practice Telephone / Fax	Tel: (434) 770-1191 \| Fax: (434) 770-2548
Administrative Mailing Address	1108 MAIN ST STE 1A, DANVILLE, VA, 24541-2940
Enumeration & Last Sync	Enumerated: 2023-05-24 \| CMS Record Updated: 2026-10-24
Authorized Official	MARK INNIS (Medical Doctor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2961 CROUSE LN, BURLINGTON, NC, 27215-1016

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Plain-English Taxonomy & CMS Crosswalk (261QE0002X)

What Does Taxonomy Code 261QE0002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QE0002X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
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 (AINSLEY MEDICAL 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
`207QA0505X` — Family Medicine, Adult Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QE0002X` — Clinic/Center, Emergency Care 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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AINSLEY MEDICAL LLC (NPI #1265124689)