SOUTH PIKE — NPI 1770705170 (Licensed & Credentialed Registered Nurse, School in OSYKA, MS)

CMS-1500 Box 24J / 33a • NPI

1770705170

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163WS0200X

Licensed & Credentialed Registered Nurse, School

Box 32 Service Location & ZIP+4

444 AMITE STREET, OSYKA, MS, 39657

Official NPPES Practice Location

Practice Phone & Referral Fax

(601) 542-3354

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770705170 (SOUTH PIKE) 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	`1770705170` (NPI-2 Organization / Facility)
Provider / Legal Name	SOUTH PIKE
Plain-English Specialty	Licensed & Credentialed Registered Nurse, School NUCC Code: `163WS0200X` (Registered Nurse, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	444 AMITE STREET, OSYKA, MS, 39657
Practice Telephone / Fax	Tel: (601) 542-3354
Administrative Mailing Address	444 AMITE STREET, OSYKA, MS, 39657
Enumeration & Last Sync	Enumerated: 2007-05-03 \| CMS Record Updated: 2020-08-22
Authorized Official	BILL GUNNELL (District Superintendent)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

444 AMITE STREET, OSYKA, MS, 39657

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Plain-English Taxonomy & CMS Crosswalk (163WS0200X)

What Does Taxonomy Code 163WS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WS0200X translates to:
"Licensed & Credentialed Registered Nurse, School"

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 Registered Nurse, School for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SOUTH PIKE)

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
`163WS0200X` — Registered Nurse, School Plain English: Licensed & Credentialed Registered Nurse, School	State: MS \| License: `R868937` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SOUTH PIKE (NPI #1770705170)