ADVANCED CHIROPRACTIC CENTER P.C. — NPI 1326463993 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1326463993

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NX0800X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic

Box 32 Service Location & ZIP+4

408 US HIGHWAY 80 SW, POOLER, GA, 31322-2541

✓ 9-Digit EDI 837 ZIP+4 (31322-2541)

Practice Phone & Referral Fax

(912) 748-0350

Fax: (912) 450-0350

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1326463993 (ADVANCED CHIROPRACTIC CENTER P.C.) 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	`1326463993` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED CHIROPRACTIC CENTER P.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic NUCC Code: `111NX0800X` (Chiropractor, Orthopedic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	408 US HIGHWAY 80 SW, POOLER, GA, 31322-2541
Practice Telephone / Fax	Tel: (912) 748-0350 \| Fax: (912) 450-0350
Administrative Mailing Address	408 US HIGHWAY 80 SW, POOLER, GA, 31322-2541
Enumeration & Last Sync	Enumerated: 2014-02-19 \| CMS Record Updated: 2014-02-19
Authorized Official	PRESTON PEACOCK (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

408 US HIGHWAY 80 SW, POOLER, GA, 31322-2541

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Plain-English Taxonomy & CMS Crosswalk (111NX0800X)

What Does Taxonomy Code 111NX0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NX0800X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Orthopedic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED CHIROPRACTIC CENTER P.C.)

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
`111NX0800X` — Chiropractor, Orthopedic Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Orthopedic	State: GA \| License: `006632` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED CHIROPRACTIC CENTER P.C. (NPI #1326463993)