CMS-1500 Box 24J / 33a • NPI
1477334415
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
251C00000X
Licensed & Credentialed Day Training, Developmentally Disabled Services
Box 32 Service Location & ZIP+4
275A THOMSON RD, WASHINGTON, GA, 30673-4313
✓ 9-Digit EDI 837 ZIP+4 (30673-4313)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477334415 (KIMBERLY NATASHIA MICKENS) 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 | 1477334415 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIMBERLY NATASHIA MICKENS |
| Plain-English Specialty | Licensed & Credentialed Day Training, Developmentally Disabled Services NUCC Code: 251C00000X (Day Training, Developmentally Disabled Services) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 275A THOMSON RD, WASHINGTON, GA, 30673-4313 |
| Practice Telephone / Fax | Tel: (706) 338-8350 |
| Administrative Mailing Address | 502 NORTHLANDS LN, EVANS, GA, 30809-6695 |
| Enumeration & Last Sync | Enumerated: 2023-10-06 | CMS Record Updated: 2023-10-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251C00000X)
What Does Taxonomy Code 251C00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251C00000X translates to:
"Licensed & Credentialed Day Training, Developmentally Disabled Services"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KIMBERLY NATASHIA MICKENS)
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 |
|---|---|
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: GA | License: LPN099093 | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: GA | License: LPN099093 | Primary: Secondary |
251J00000X — Nursing CarePlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: GA | License: LPN099093 | Primary: Secondary |
261QD1600X — Clinic/Center, Developmental DisabilitiesPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: GA | License: LPN099093 | Primary: Secondary |
385HR2060X — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, ChildPlain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | State: GA | License: LPN099093 | Primary: Secondary |
251C00000X — Day Training, Developmentally Disabled ServicesPlain English: Licensed & Credentialed Day Training, Developmentally Disabled Services | State: GA | License: LPN099093 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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