CMS-1500 Box 24J / 33a • NPI
1376590141
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
111NI0900X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist
Box 32 Service Location & ZIP+4
325 SOUTH MAIN STREET, SPARTA, NC, 28675
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376590141 (CENTER FOR FAMILY WELLNESS, PA) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376590141 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CENTER FOR FAMILY WELLNESS, PA |
| Plain-English Specialty | Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist NUCC Code: 111NI0900X (Chiropractor, Internist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 325 SOUTH MAIN STREET, SPARTA, NC, 28675 |
| Practice Telephone / Fax | Tel: (336) 372-1666 |
| Administrative Mailing Address | PO BOX 1827, SPARTA, NC, 28675-1827 |
| Enumeration & Last Sync | Enumerated: 2006-05-27 | CMS Record Updated: 2014-05-19 |
| Authorized Official | TODD SMITH (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (111NI0900X)
What Does Taxonomy Code 111NI0900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0900X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CENTER FOR FAMILY WELLNESS, PA)
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
- 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 |
|---|---|
111NI0900X — Chiropractor, InternistPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist | State: NC | License: 1643 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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