COD LLC — NPI 1346119856 (Licensed & Credentialed Lodging in MULLINS, SC)

CMS-1500 Box 24J / 33a • NPI

1346119856

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

177F00000X

Licensed & Credentialed Lodging

Box 32 Service Location & ZIP+4

411 BAY ST, MULLINS, SC, 29574-2503

✓ 9-Digit EDI 837 ZIP+4 (29574-2503)

Practice Phone & Referral Fax

(803) 351-3258

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1346119856 (COD LLC) 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	`1346119856` (NPI-2 Organization / Facility)
Provider / Legal Name	COD LLC
Plain-English Specialty	Licensed & Credentialed Lodging NUCC Code: `177F00000X` (Lodging)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	411 BAY ST, MULLINS, SC, 29574-2503
Practice Telephone / Fax	Tel: (803) 351-3258
Administrative Mailing Address	411 BAY ST, MULLINS, SC, 29574-2503
Enumeration & Last Sync	Enumerated: 2025-11-03 \| CMS Record Updated: 2025-11-03
Authorized Official	CORINTHIAN DAVIS (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

411 BAY ST, MULLINS, SC, 29574-2503

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Plain-English Taxonomy & CMS Crosswalk (177F00000X)

What Does Taxonomy Code 177F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 177F00000X translates to:
"Licensed & Credentialed Lodging"

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

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COD LLC)

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
`320600000X` — Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`273Y00000X` — Rehabilitation Unit Plain English: Licensed & Credentialed Hospital Units — Rehabilitation Unit	State: N/A \| License: `Verified` \| Primary: Secondary
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0630X` — Assisted Living Facility, Assisted Living, Behavioral Disturbances Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Behavioral Disturbances	State: N/A \| License: `Verified` \| Primary: Secondary
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`273100000X` — Epilepsy Unit Plain English: Licensed & Credentialed Hospital Units — Epilepsy Unit	State: N/A \| License: `Verified` \| Primary: Secondary
`276400000X` — Rehabilitation, Substance Use Disorder Unit Plain English: Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit	State: N/A \| License: `Verified` \| Primary: Secondary
`347C00000X` — Private Vehicle Plain English: Licensed & Credentialed Private Vehicle	State: N/A \| License: `Verified` \| Primary: Secondary
`347B00000X` — Bus Plain English: Licensed & Credentialed Bus	State: N/A \| License: `Verified` \| Primary: Secondary
`177F00000X` — Lodging Plain English: Licensed & Credentialed Lodging	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COD LLC (NPI #1346119856)