CALHOUN COUNTY DEPT OF FAMILY & CHILDREN SERVICES — NPI 1689131906 (Licensed & Credentialed Lodging in BLAKELY, GA)

CMS-1500 Box 24J / 33a • NPI

1689131906

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

177F00000X

Licensed & Credentialed Lodging

Box 32 Service Location & ZIP+4

11860 COLUMBIA ST, BLAKELY, GA, 39823-2577

✓ 9-Digit EDI 837 ZIP+4 (39823-2577)

Practice Phone & Referral Fax

(229) 724-2044

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689131906 (CALHOUN COUNTY DEPT OF FAMILY & CHILDREN SERVICES) 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	`1689131906` (NPI-2 Organization / Facility)
Provider / Legal Name	CALHOUN COUNTY DEPT OF FAMILY & CHILDREN SERVICES
Plain-English Specialty	Licensed & Credentialed Lodging NUCC Code: `177F00000X` (Lodging)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11860 COLUMBIA ST, BLAKELY, GA, 39823-2577
Practice Telephone / Fax	Tel: (229) 724-2044
Administrative Mailing Address	PO BOX 747, BLAKELY, GA, 39823-0747
Enumeration & Last Sync	Enumerated: 2019-02-22 \| CMS Record Updated: 2019-02-22
Authorized Official	KIM MITCHELL (fiscal operations manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11860 COLUMBIA ST, BLAKELY, GA, 39823-2577

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Plain-English Taxonomy & CMS Crosswalk (177F00000X)

What Does Taxonomy Code 177F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 177F00000X translates to:
"Licensed & Credentialed Lodging"

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 Lodging for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CALHOUN COUNTY DEPT OF FAMILY & CHILDREN SERVICES)

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
`177F00000X` — Lodging Plain English: Licensed & Credentialed Lodging	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CALHOUN COUNTY DEPT OF FAMILY & CHILDREN SERVICES (NPI #1689131906)