CMS-1500 Box 24J / 33a • NPI
1629671342
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
3257 CHATTANOOGA VALLEY RD, FLINTSTONE, GA, 30725-2387
✓ 9-Digit EDI 837 ZIP+4 (30725-2387)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629671342 (TIA MIRANDA GABLE, NP) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1629671342)
Medicare Beneficiaries
72
Total Billed Services
657
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$12,496.78
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 26 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 20 |
96372 | Injection of drug or substance under skin or into muscle | 20 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 46 |
J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 56 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 34 | 17 |
| Allopurinol Allopurinol | 17 | <11 |
| Alprazolam Alprazolam | 22 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 55 | 25 |
| Amoxicillin Amoxicillin | 11 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 22 | 11 |
| Azithromycin Azithromycin | 33 | 32 |
| Baclofen Baclofen | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629671342 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TIA MIRANDA GABLE, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3257 CHATTANOOGA VALLEY RD, FLINTSTONE, GA, 30725-2387 |
| Practice Telephone / Fax | Tel: (706) 841-7700 | Fax: (706) 841-7800 |
| Administrative Mailing Address | 601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL, 33602-5925 |
| Enumeration & Last Sync | Enumerated: 2020-11-17 | CMS Record Updated: 2023-08-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TIA MIRANDA GABLE, NP)
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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: GA | License: RN199618 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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