CMS-1500 Box 24J / 33a • NPI
1639474745
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP2000X (CMS 70)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
406 ROY MARTIN RD, SUITE 9, GRAY, TN, 37615-2244
✓ 9-Digit EDI 837 ZIP+4 (37615-2244)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639474745 (ACHIEVE HEALTH AND WELLNESS) 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 | 1639474745 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACHIEVE HEALTH AND WELLNESS |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP2000X (Clinic/Center, Physical Therapy) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 406 ROY MARTIN RD, SUITE 9, GRAY, TN, 37615-2244 |
| Practice Telephone / Fax | Tel: (423) 477-1101 | Fax: (423) 477-1102 |
| Administrative Mailing Address | 406 ROY MARTIN RD, GRAY, TN, 37615-2244 |
| Enumeration & Last Sync | Enumerated: 2011-01-20 | CMS Record Updated: 2020-01-16 |
| Authorized Official | JODY MUSICK (Physical Therapist / Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QP2000X)
What Does Taxonomy Code 261QP2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACHIEVE HEALTH AND WELLNESS)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QP2000X — Clinic/Center, Physical TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: TN | License: 0025661 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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