✓ Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier (335E00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

BELLA MONIQUE LLC (NPI #1285393439)

Prosthetic/Orthotic Supplier • ATLANTA, GA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1285393439
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
335E00000X (CMS 51)
Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier
Box 32 Service Location & ZIP+4
1445 WOODMONT LN NW # 1205, ATLANTA, GA, 30318-2866
✓ 9-Digit EDI 837 ZIP+4 (30318-2866)
Practice Phone & Referral Fax
Fax: (912) 452-1130
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285393439 (BELLA MONIQUE 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 Number1285393439 (NPI-2 Organization / Facility)
Provider / Legal NameBELLA MONIQUE LLC
Plain-English SpecialtyLicensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier
NUCC Code: 335E00000X (Prosthetic/Orthotic Supplier)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1445 WOODMONT LN NW # 1205, ATLANTA, GA, 30318-2866
Practice Telephone / FaxTel: (912) 288-5907 | Fax: (912) 452-1130
Administrative Mailing AddressPO BOX 1174, BLACKSHEAR, GA, 31516-3674
Enumeration & Last SyncEnumerated: 2021-12-15 | CMS Record Updated: 2023-02-20
Authorized OfficialSHAVONNE BELLAMY (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1445 WOODMONT LN NW # 1205, ATLANTA, GA, 30318-2866

🗺️ Open in Google Maps 🏥 More Providers in ATLANTA

Plain-English Taxonomy & CMS Crosswalk (335E00000X)

What Does Taxonomy Code 335E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335E00000X translates to:
"Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 51 (Medical Supply Company with Orthotist) • CMS Code 52 (Medical Supply Company with Prosthetist) • CMS Code 53 (Medical Supply Company with Orthotist-Prosthetist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetic/Orthotic Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BELLA MONIQUE LLC)

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 DescriptionState License & Primary Status
335E00000X — Prosthetic/Orthotic Supplier
Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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