TANGELY MAXWELL, Community Based — NPI 1306320767 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MIDWAY, FL)

CMS-1500 Box 24J / 33a • NPI

1306320767

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261QD1600X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

13 MONROE CREEK DR, MIDWAY, FL, 32343-2212

✓ 9-Digit EDI 837 ZIP+4 (32343-2212)

Practice Phone & Referral Fax

(850) 570-6551

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306320767 (TANGELY MAXWELL, Community Based) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306320767` (NPI-1 Individual Practitioner)
Provider / Legal Name	TANGELY MAXWELL, Community Based
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QD1600X` (Clinic/Center, Developmental Disabilities)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	13 MONROE CREEK DR, MIDWAY, FL, 32343-2212
Practice Telephone / Fax	Tel: (850) 570-6551
Administrative Mailing Address	13 MONROE CREEK DR, MIDWAY, FL, 32343-2212
Enumeration & Last Sync	Enumerated: 2018-09-21 \| CMS Record Updated: 2018-09-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13 MONROE CREEK DR, MIDWAY, FL, 32343-2212

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Plain-English Taxonomy & CMS Crosswalk (261QD1600X)

What Does Taxonomy Code 261QD1600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QD1600X 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 (TANGELY MAXWELL, Community Based)

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
`261QD1600X` — Clinic/Center, Developmental Disabilities Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: FL \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TANGELY MAXWELL, Community Based (NPI #1306320767)