BORN EDUCATORS ACADEMY — NPI 1306786041 (Licensed & Credentialed Registered Nurse in TYRONE, GA)

CMS-1500 Box 24J / 33a • NPI

1306786041

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163W00000X

Licensed & Credentialed Registered Nurse

Box 32 Service Location & ZIP+4

1486 GA-74 UNIT 6A, TYRONE, GA, 30290

Official NPPES Practice Location

Practice Phone & Referral Fax

(404) 704-4992

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306786041 (BORN EDUCATORS ACADEMY) 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	`1306786041` (NPI-2 Organization / Facility)
Provider / Legal Name	BORN EDUCATORS ACADEMY
Plain-English Specialty	Licensed & Credentialed Registered Nurse NUCC Code: `163W00000X` (Registered Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1486 GA-74 UNIT 6A, TYRONE, GA, 30290
Practice Telephone / Fax	Tel: (404) 704-4992
Administrative Mailing Address	309 LAUREN DR, FAIRBURN, GA, 30213-7007
Enumeration & Last Sync	Enumerated: 2026-03-31 \| CMS Record Updated: 2026-03-31
Authorized Official	KARLA SCIPIO (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1486 GA-74 UNIT 6A, TYRONE, GA, 30290

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Plain-English Taxonomy & CMS Crosswalk (163W00000X)

What Does Taxonomy Code 163W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163W00000X translates to:
"Licensed & Credentialed Registered Nurse"

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 Registered Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BORN EDUCATORS ACADEMY)

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
`171400000X` — Health & Wellness Coach Plain English: Licensed & Credentialed Health & Wellness Coach	State: N/A \| License: `Verified` \| Primary: Secondary
`174H00000X` — Health Educator Plain English: Certified Health Education Specialist (CHES / Preventive Patient Education)	State: N/A \| License: `Verified` \| Primary: Secondary
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BORN EDUCATORS ACADEMY (NPI #1306786041)