CMS-1500 Box 24J / 33a • NPI
1285740142
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
170100000X
Licensed & Credentialed Medical Genetics, Ph.D. Medical Genetics
Box 32 Service Location & ZIP+4
201 W CLINTON ST, ROSEBORO, NC, 28382
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285740142 (POWELLS MEDICAL FACILITY) 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 | 1285740142 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | POWELLS MEDICAL FACILITY |
| Plain-English Specialty | Licensed & Credentialed Medical Genetics, Ph.D. Medical Genetics NUCC Code: 170100000X (Medical Genetics, Ph.D. Medical Genetics) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 201 W CLINTON ST, ROSEBORO, NC, 28382 |
| Practice Telephone / Fax | Tel: (910) 525-4062 |
| Administrative Mailing Address | PO BOX 988, ROSEBORO, NC, 28382-0988 |
| Enumeration & Last Sync | Enumerated: 2006-08-22 | CMS Record Updated: 2008-04-29 |
| Authorized Official | TERESA POWELL (Office Manager) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (170100000X)
What Does Taxonomy Code 170100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 170100000X translates to:
"Licensed & Credentialed Medical Genetics, Ph.D. Medical Genetics"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (POWELLS MEDICAL FACILITY)
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 |
|---|---|
170100000X — Medical Genetics, Ph.D. Medical GeneticsPlain English: Licensed & Credentialed Medical Genetics, Ph.D. Medical Genetics | State: NC | License: 223962 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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