BATES FAMILY HAIR AFFAIR, LLC — NPI 1679148662 (Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment in WILLISTON, SC)

CMS-1500 Box 24J / 33a • NPI

1679148662

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

332BC3200X

Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment

Box 32 Service Location & ZIP+4

13192 CHURCH ST, WILLISTON, SC, 29853-5818

✓ 9-Digit EDI 837 ZIP+4 (29853-5818)

Practice Phone & Referral Fax

(803) 266-2727

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679148662 (BATES FAMILY HAIR AFFAIR, 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	`1679148662` (NPI-2 Organization / Facility)
Provider / Legal Name	BATES FAMILY HAIR AFFAIR, LLC
Plain-English Specialty	Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment NUCC Code: `332BC3200X` (Durable Medical Equipment & Medical Supplies, Customized Equipment)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	13192 CHURCH ST, WILLISTON, SC, 29853-5818
Practice Telephone / Fax	Tel: (803) 266-2727
Administrative Mailing Address	42 JOHNSON LN, WILLISTON, SC, 29853-5432
Enumeration & Last Sync	Enumerated: 2021-05-23 \| CMS Record Updated: 2021-05-23
Authorized Official	TIFFANY BATES (Cranial Prosthesis Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13192 CHURCH ST, WILLISTON, SC, 29853-5818

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Plain-English Taxonomy & CMS Crosswalk (332BC3200X)

What Does Taxonomy Code 332BC3200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332BC3200X translates to:
"Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment"

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 Durable Medical Equipment & Medical Supplies, Customized Equipment for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BATES FAMILY HAIR AFFAIR, 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
`332BC3200X` — Durable Medical Equipment & Medical Supplies, Customized Equipment Plain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BATES FAMILY HAIR AFFAIR, LLC (NPI #1679148662)