βœ“ Licensed & Credentialed Exclusive Provider Organization (302F00000X)

A FAMILY IS ETERNAL (NPI #1699488494)

Exclusive Provider Organization • PETERSBURG, VA • Status: Active Federal Registration

Plain-English Taxonomy Translation (302F00000X)

What Does Taxonomy Code 302F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302F00000X translates in plain language to:
"Licensed & Credentialed Exclusive Provider Organization"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Exclusive Provider Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with A FAMILY IS ETERNAL:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic & Prescribing Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1699488494 (NPI-2 Organization / Facility)
Provider / Legal NameA FAMILY IS ETERNAL
Plain-English SpecialtyLicensed & Credentialed Exclusive Provider Organization
NUCC Code: 302F00000X (Exclusive Provider Organization)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1889 S SYCAMORE ST, PETERSBURG, VA, 238052730
Practice Telephone / FaxTel: 804-605-9845 | Fax: 804-895-7853
Administrative Mailing Address1889 S SYCAMORE ST, PETERSBURG, VA, 238052730
Enumeration & Last SyncEnumerated: 2022-12-27 | Updated: 2022-12-27
Authorized OfficialNITA DAVISON (Manager)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

1889 S SYCAMORE ST, PETERSBURG, VA, 238052730

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
302F00000X β€” Exclusive Provider Organization
Plain English: Licensed & Credentialed Exclusive Provider Organization
State: N/A | License: Verified | Primary Taxonomy: Yes