AHMANIQUE WHOLENESS & WELL-BEING — NPI 1295289759 (Licensed & Credentialed Community/Behavioral Health in ROSWELL, GA)

CMS-1500 Box 24J / 33a • NPI

1295289759

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251S00000X

Licensed & Credentialed Community/Behavioral Health

Box 32 Service Location & ZIP+4

803 BOMBAY LN STE C, ROSWELL, GA, 30076-5819

✓ 9-Digit EDI 837 ZIP+4 (30076-5819)

Practice Phone & Referral Fax

(770) 545-6443

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1295289759 (AHMANIQUE WHOLENESS & WELL-BEING) 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	`1295289759` (NPI-2 Organization / Facility)
Provider / Legal Name	AHMANIQUE WHOLENESS & WELL-BEING
Plain-English Specialty	Licensed & Credentialed Community/Behavioral Health NUCC Code: `251S00000X` (Community/Behavioral Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	803 BOMBAY LN STE C, ROSWELL, GA, 30076-5819
Practice Telephone / Fax	Tel: (770) 545-6443
Administrative Mailing Address	7922 APPLEMIST DR, FAIRBURN, GA, 30213-7905
Enumeration & Last Sync	Enumerated: 2016-08-12 \| CMS Record Updated: 2019-04-30
Authorized Official	MONIQUE HARRIS (Therapist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

803 BOMBAY LN STE C, ROSWELL, GA, 30076-5819

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Plain-English Taxonomy & CMS Crosswalk (251S00000X)

What Does Taxonomy Code 251S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"

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 Community/Behavioral Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AHMANIQUE WHOLENESS & WELL-BEING)

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
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: GA \| License: `CSW005388` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AHMANIQUE WHOLENESS & WELL-BEING (NPI #1295289759)